Individual provider · Type 1 NPI
Christina Tan Michelle Kennedy, OD
Optometrist · Fort Wayne, IN
Practice location
6709 W Jefferson Blvd
Fort Wayne, IN 46804-6209
Fax (260) 484-0616
Mailing address
3060 Franklin Ter
Johnson City, TN 37604-4123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | OPT002409 (GA) |
| Optometrist | 152W00000X | 4901004315 (MI) |
| Optometrist | 152W00000X | 2916 (TN) |
| Optometrist Primary | 152W00000X | 18003936AB (IN) |
Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…
2 other providers at this address
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About NPI 1154480911
Christina Tan Michelle Kennedy, OD's National Provider Identifier is 1154480911, issued on Dec 7, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Fort Wayne, IN. The record was last updated on May 3, 2019.