| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1730368341 | GEORGE D TAYLOR OD PC | 3401 LAKE AVE | FORT WAYNE | IN | 468055500 | |||
| 1295727519 | DOUGHERTY | KURT | W. | 3401 LAKE AVE | FORT WAYNE | IN | 468055500 | |
| 1023098589 | TAYLOR | GEORGE | D | 3401 LAKE AVE | FORT WAYNE | IN | 468055500 |