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NPI 1295859528

IndividualActive

Alfred Wermuth, O.D.

NPI 1295859528 · Optometrist · Fort Wayne, IN

Provider details

NPI number: 1295859528
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: Yes
License: 18001756B (IN)

Practice location

1221 Medical Park Dr

Fort Wayne, IN 46825-5827

Phone: (260) 471-2000

Fax: (260) 471-2100

More IN providers

Mailing address

1221 Medical Park Dr

Fort Wayne, IN 46825-5827

Registry dates

Enumerated: 2007-03-19
Last updated: 2008-03-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alfred Wermuth, O.D. — NPI 1295859528, Fort Wayne, IN | NPI Central