Dan Lee Fortenbacher is a St Joseph, Michigan based male Optometrist who is specialized in Optometry. Active license number of Dan Lee Fortenbacher is 4901002693 for Optometry - Vision Therapy in Michigan. Dan Lee Fortenbacher examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dan Lee Fortenbacher speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
2908 Division Street, St Joseph, Michigan, 49085
Phone:
269-983-3309
Fax:
269-983-0846
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1760519946
NPI Enumeration Date:
27 Feb, 2007
NPI Last Update On:
20 May, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dan Lee Fortenbacher are as mentioned below.
License Number
Specialization
State
Status
4901002693
Optometry - Vision Therapy
Michigan
Primary
4901002693
Optometry
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dan Lee Fortenbacher such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
900A165280
Other
Michigan
BLUE CROSS BLUE SHIELD OF MICHIGAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2908 Division Street, St Joseph, Michigan
Zip:
49085
Phone Number:
269-983-3309
Fax Number:
269-983-0846
Patients can reach Dan Lee Fortenbacher at 2908 Division Street, St Joseph, Michigan or can call to book an appointment on 269-983-3309. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.
Comments/ Reviews:
Similar Optometrist in St Joseph, MI
Dr. Gary Gene Sisson, OD Speciality: Optometrist Address: 2904 Division Street, MI Phone: 269-983-2020 Fax: 269-983-3651