MEDICARE: CHRISTOPHER C WEHRLE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	18002313B	IN

General Provider Information

NPI Number	:	1518961994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER C WEHRLE O.D.

Provider Business Mailing Address
First Line	:	90 HORNADAY RD
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-1450
Country	:	US
Telephone Number	:	317-852-4741
Fax Number	:	317-858-2967

Provider Business Practice Location Address
First Line	:	90 HORNADAY RD
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112-1450
Country	:	US
Telephone Number	:	317-852-4741
Fax Number	:	317-858-2967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/08/2007

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Directions to “ CHRISTOPHER C WEHRLE O.D.” Practice Location

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