Dr. Martin R. White
Optometrist
6110 Maplecrest Rd
Fort Wayne
, Indiana 46835-2524
Dr. Martin R. White
Optometrist
6110 Maplecrest Rd
Fort Wayne
, Indiana 46835-2524
(260) 486-8784
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Martin R. White
- 6110 Maplecrest Rd
- Fort Wayne, IN
- Zip : 46835-2524
- Fax : (260) 486-8784
- Phone : (260) 486-8833
Second Address
- Dr. Martin R. White
- 6110 Maplecrest Rd
- Fort Wayne, IN
- Zip : 46835-2524
- Fax : (260) 486-8784
- Phone : (260) 486-8833
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18002542B | IN |
National Provider Identifier
| NPI | 1003816943 |
|---|---|
| Provider Name | Dr. Martin R. White |
| First Address | Fort Wayne, IN 46835-2524 |
| Second Address | Fort Wayne, IN 46835-2524 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2005 |
| Last Update Date | 24/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U33154 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.