IndividualActive
Brad Martin, O.D.
NPI 1487664249 · Occupational Vision Optometrist · Fort Wayne, IN
Provider details
- NPI number
- 1487664249
- Entity type
- Individual
- Primary specialty
- Occupational Vision OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 18002830B (IN)
Practice location
1015 E Dupont Rd
Fort Wayne, IN 46825-1553
Phone: (260) 416-0800
Fax: (260) 416-0999
Mailing address
1015 E Dupont Rd
Fort Wayne, IN 46825-1553
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.