Charles H. Rutan, O.D. in Clinton - Eyewear Supplier

Charles H. Rutan, O.D. - NPI 1639347743

Charles H. Rutan, O.D. is a Eyewear Supplier in Clinton, Indiana. Charles H. Rutan, O.D. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Charles H. Rutan, O.D. is 1639347743. The last update date is 2012-08-02.

Charles H. Rutan, O.D.'s current location address is 224 Elm St, Clinton, Indiana. You can contact this provider via phone number 7658323292 and fax number 7658329730. The mailing address for Charles H. Rutan, O.D. is 224 Elm St, Clinton, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Charles H. Rutan, O.D.
Address 224 Elm St, Clinton, Indiana
Phone Number 7658323292
Fax Number 7658329730
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER / OP
Authorized Official Name Rutan Hugh Charles
Credentials O.D.
Telephone Number 7658323292

NPI Number Detail

NPI Number 1639347743
Provider Enumeration Date 2008-02-12
Last Updated Date 2012-08-02

Provider Mailing Address Detail

Address 224 Elm St
City Clinton
State Indiana (IN)
Post Code 478422312
Phone Number 7658323292
Fax Number 7658329730

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 18002266A
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100243930 IN --

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FAQs about Charles H. Rutan, O.D.

What is the unique 10-digit identification code issued to Charles H. Rutan, O.D. by the Centers for Medicare & Medicaid Services?

The Charles H. Rutan, O.D. has been assigned the NPI (National Provider Identifier) 1639347743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Charles H. Rutan, O.D.?

The Charles H. Rutan, O.D. is situated at 224 Elm St, in the city of Clinton, state of IN, with the zip code 478422312.

What is Charles H. Rutan, O.D.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Charles H. Rutan, O.D. is Eyewear Supplier, and the taxonomy classification code that categorizes this area of expertise is 332H00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639347743 to Charles H. Rutan, O.D.?

The Centers for Medicare & Medicaid Services originally issued the 1639347743 to Charles H. Rutan, O.D. on 2008-02-12.

As of what date were the details related to Charles H. Rutan, O.D. most recently updated or revised?

The information pertaining to Charles H. Rutan, O.D., including its address, specialty, and other relevant details, was last updated or revised on 2012-08-02.

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