IndividualActive
Dan Fortenbacher, O.D.
NPI 1760519946 · Vision Therapy Optometrist · St Joseph, MI
Provider details
- NPI number
- 1760519946
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4901002693 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
2908 Division Street
St Joseph, MI 49085
Phone: (269) 983-3309
Fax: (269) 983-0846
Approximate (ZIP-level) locationGet directions
Mailing address
2908 Division Street
St Joseph, MI 49085
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2015-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.