IndividualActive
Ali Prible, OD
NPI 1114569225 · Optometrist · Fort Wayne, IN
Provider details
- NPI number
- 1114569225
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18004194A (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3409 N Anthony Blvd
Fort Wayne, IN 46805-2233
Phone: (260) 484-2691
Fax: (260) 484-0616
Approximate (ZIP-level) locationGet directions
Mailing address
3409 N Anthony Blvd
Fort Wayne, IN 46805-2233
Registry dates
- Enumerated
- 2019-10-09
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.