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Contact Information

GENERATIONS FAMILY EYECARE, PC
4201 LAHMEYER RD
FORT WAYNE, IN46815-5676
 Phone: 260-486-6106
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for GENERATIONS FAMILY EYECARE, PC

NPI # 1821081621
LBN Legal business name GENERATIONS FAMILY EYECARE, PC
Authorized official KEVIN WHITELEATHER - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2005
Last updated 08/13/2008 - About 18 years ago
Identifiers
IN License # 18003140A
IN Medicaid 200357500A
IN Other CJ3814 RAILROAD MEDICARE GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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