What is Kurt Dougherty's NPI number?

Kurt Dougherty's National Provider Identifier (NPI) is 1295727519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kurt Dougherty's specialty?

Kurt Dougherty is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Kurt Dougherty located?

Kurt Dougherty's practice location on file with NPPES is 3401 Lake Ave, Fort Wayne, IN 46805-5500.

What is Kurt Dougherty's phone number?

The practice phone number listed in the NPPES registry for Kurt Dougherty is (260) 422-6396.

Is Kurt Dougherty's NPI active?

Yes — Kurt Dougherty's NPI (1295727519) is active in the NPPES registry as of the last update on 2008-06-18.

IndividualActive

Kurt Dougherty, OD

NPI 1295727519 · Optometrist · Fort Wayne, IN

Kurt Dougherty, OD is a Optometrist provider in Fort Wayne, IN (NPI 1295727519).

Provider details

NPI number: 1295727519
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: Yes
License: 1800214R (IN)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 1800214R (IN)
Eye and Vision Services Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3401 Lake Ave

Fort Wayne, IN 46805-5500

Phone: (260) 422-6396

Fax: (260) 420-2258

Street-level locationGet directions

Mailing address