Apple Eyecare Fw Southwest LLC
Optometrist in Fort Wayne, IN. Organization (NPI-2).
NPI number1285375014
StatusActive
Last updated in NPPESApr 5, 2022
Details
- NPI
- 1285375014
- Entity type
- Organization (NPI-2)
- Legal business name
- Apple Eyecare Fw Southwest LLC
- Organization subpart
- No
- Enumeration date
- Apr 5, 2022
- Certification date
- Apr 5, 2022
- Last updated
- Apr 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Apple Eyecare (Doing Business As)
Practice location
4626 W Jefferson BlvdFort Wayne, IN 46804-6897
Phone 260-432-5502
Mailing address
4626 W Jefferson BlvdFort Wayne, IN 46804-6897
Phone 260-432-5502
Authorized official
Darren Minnich
Owner
5747734341
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