Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295727519 Individual Practitioner Male Practitioner

Dr. Kurt W. Dougherty , OD

Optometrist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Kurt Dougherty, OD is a registered healthcare professional specializing in Optometrist in Fort Wayne, IN. Practice services are available at 3401 LAKE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3401 Lake Ave

Fort Wayne, IN 468055500

Telephone 2604226396
Fax 2604202258
Associated Practice Facility / Clinic
🏢 George D Taylor Od Pc Facility NPI 1730368341

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.6 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
108 Specialists

Practicing in Fort Wayne, IN (1644 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 1800214R

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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100103980A (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1023098589

Doctor of Optometry

NPI 1316517493

Doctor of Optometry

NPI 1316621766

Doctor of Optometry

NPI 1326629114

Doctor of Optometry

Madeline Hobbie

Optometrist

NPI 1528632866

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2008

Registered at 3401 LAKE AVE, FORT WAYNE, IN 468055500 (Tel: 2604226396)

📍
Updated Business Mailing Address June 18, 2008

Registered at 3401 LAKE AVE, FORT WAYNE, IN 468055500 (Tel: 2604226396)

👤
Provider Name / Credentials Updated June 18, 2008

Recorded as KURT DOUGHERTY, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2008

Optometrist (License #1800214R in IN)

🟢
Initial NPI Registration & Enumeration August 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kurt Dougherty. Be the first to share your experience!

Sign in to leave a review for Dr. Kurt Dougherty

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295727519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2005
Last Update: June 18, 2008
Sole Proprietor: Yes

Mailing Address

3401 Lake Ave

Fort Wayne, IN 468055500

Phone: 2604226396

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.