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NPI Code Detail

MEDICARE: GENERATIONS FAMILY EYECARE, PC

MEDICARE: GENERATIONS FAMILY EYECARE, PC
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
1152WC0802XCorneal and Contact Management Optometrist18003140AIN
2152WL0500XLow Vision Rehabilitation Optometrist18003140AIN
3152W00000XOptometrist18003140AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CJ3814OTHERINRAILROAD MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821081621
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERATIONS FAMILY EYECARE, PC
Provider Business Mailing Address
First Line : 4201 LAHMEYER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-5676
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4201 LAHMEYER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-5676
Country : US
Telephone Number : 260-486-6106
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : KEVIN A. WHITELEATHER
Credential : OD
Telephone Number : 260-486-6106
Provider Enumeration Date : 08/26/2005
Last Update Date : 08/13/2008

Similar Medicare Providers

1497758395 — DR. KEVIN A. WHITELEATHER OD
Practice Location Address:
4201 LAHMEYER RD
FORT WAYNE, IN
46815-5676
Practice Phone: 260-486-6106
Practice Fax:
1386710093 — MRS. TERRA MARIE WILLIAMS MPT
Practice Location Address:
4251 LAHMEYER RD
FORT WAYNE, IN
46815-5676
Practice Phone: 260-482-7800
Practice Fax: 260-484-0273
1588896328 — CHRISTOPHER A LEEUW DPT
Practice Location Address:
4251 LAHMEYER RD
FORT WAYNE, IN
46815-5676
Practice Phone: 260-482-7800
Practice Fax: 260-484-0273
1881946853 — MRS. RACHEL G MICHAEL DPT
Practice Location Address:
4251 LAHMEYER RD
FORT WAYNE, IN
46815-5676
Practice Phone: 260-432-4700
Practice Fax: 260-459-9262
1275877201 — JERRY DONNELL FORD ATC
Practice Location Address:
4251 LAHMEYER RD
FORT WAYNE, IN
46815-5676
Practice Phone: 260-432-4700
Practice Fax: 260-459-9262
1952645970 — NATHANIEL BLAIR ATC
Practice Location Address:
4251 LAHMEYER RD
FORT WAYNE, IN
46815-5676
Practice Phone: 260-432-4700
Practice Fax: 260-459-9262

Directions to “GENERATIONS FAMILY EYECARE, PC ” Practice Location

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