OrganizationActive
Eye Associates Group, LLC
NPI 1144462235 · Low Vision Rehabilitation Optometrist · Fort Wayne, IN
Provider details
- NPI number
- 1144462235
- Entity type
- Organization
- Primary specialty
- Low Vision Rehabilitation OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Shelley Teagle, Accounts Manager(765) 348-2020
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
6208 Constitution Dr Ste B
Fort Wayne, IN 46804-1585
Phone: (260) 432-0575
Fax: (260) 432-0835
Approximate (ZIP-level) locationGet directions
Mailing address
6208 Constitution Dr Ste B
Fort Wayne, IN 46804-1585
Registry dates
- Enumerated
- 2009-04-03
- Last updated
- 2009-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.