Dr. Kurt W. Dougherty is a Fort Wayne, Indiana based male Optometrist who is specialized in Optometry. Active license number of Dr. Kurt W. Dougherty is 1800214R for Optometry in Indiana. Dr. Kurt W. Dougherty 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:
Dr. Kurt W. Dougherty 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:
OD
Gender:
Male
Practice Address:
3401 Lake Ave, Fort Wayne, Indiana, 46805-5500
Phone:
260-422-6396
Fax:
260-420-2258
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:
1295727519
NPI Enumeration Date:
23 Aug, 2005
NPI Last Update On:
18 Jun, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kurt W. Dougherty are as mentioned below.
License Number
Specialization
State
Status
1800214R
Optometry
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kurt W. Dougherty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100103980A
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3401 Lake Ave, Fort Wayne, Indiana
Zip:
46805-5500
Phone Number:
260-422-6396
Fax Number:
260-420-2258
Patients can reach Dr. Kurt W. Dougherty at 3401 Lake Ave, Fort Wayne, Indiana or can call to book an appointment on 260-422-6396. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.