Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northside Eye Center LLC

Organization Optometrist · NPI 1770266322

Northside Eye Center LLC is an Optometrist in Fort Wayne, Indiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9610 Lima Rd Ste 103
Fort Wayne, IN 46818-9998
Phone: (260) 440-8388
Fax: (260) 999-5645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1770266322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Callow — Optometrist · (260) 255-0654
NPI enumeratedAugust 10, 2023
Last updated in NPPESMarch 11, 2024
Certification dateMarch 7, 2024
Mailing address9610 Lima Road, Suite 103, Fort Wayne, IN 46818-0104

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