Organization Name: | DR. CRAIG A. FENIMORE, OPTOMETRIST |
NPI Number: | 1700130952 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELLODY FERN WILEY (OFFICE MANAGER) |
Mailing Address: | 1818 N Main St Rushville |
State: | IN US |
Postal Code: | 461739316 |
Phone Number: | 7659324800 |
Fax Number: | 7659322619 |
NPI Enumeration Date: | 11/08/2012 |
NPI Last Update Date: | 11/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 18002225 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |