Austin Beard, OD
Optometrist in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1972033348
StatusActive
Last updated in NPPESSep 11, 2017
Details
- NPI
- 1972033348
- Entity type
- Individual (NPI-1)
- Name
- Austin Beard
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2017
- Last updated
- Sep 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 18004028 | IN | Yes |
Practice location
2001 Reed RdFort Wayne, IN 46815-7311
Phone 260-426-5663 · Fax 260-426-5693
Mailing address
Po Box 549Wabash, IN 46992-0549
Phone 260-569-9550 · Fax 260-569-0760
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