IndividualActive
William Brigham, OD
NPI 1750364006 · Vision Therapy Optometrist · Fort Wayne, IN
Provider details
- NPI number
- 1750364006
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 18001470A (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
902 W Wayne St
Fort Wayne, IN 46802-3946
Phone: (260) 422-9421
Fax: (260) 422-9422
Approximate (ZIP-level) locationGet directions
Mailing address
902 W Wayne St
Fort Wayne, IN 46802-3976
Registry dates
- Enumerated
- 2005-11-21
- Last updated
- 2008-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.