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Contact Information

ROBERT TEETER, OD
409 COLISEUM BLVD E
FORT WAYNE, IN46825
 Phone: 260-739-0129
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ROBERT TEETER · (Male)

NPI Number 1902956493
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/10/2007
Last updated 05/20/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046-009790
  • IN License # 18003818A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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