CHARLES H. RUTAN, O.D.; NPI #1639347743

Contact Information

CHARLES H. RUTAN, O.D.

224 ELM ST
CLINTON, IN 47842-2312

Phone: 765-832-3292
Fax: 765-832-9730
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for CHARLES H. RUTAN, O.D.

NPI Number 1639347743

LBN Legal business name CHARLES H. RUTAN, O.D.

Authorized official CHARLES RUTAN - (OWNER / OPTOMETRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/12/2008

Last updated 08/02/2012 - About 14 years ago

Identifiers

IN	License #	18002266A
IN	Medicaid	100243930

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CHARLES H. RUTAN, O.D.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for CHARLES H. RUTAN, O.D.

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