Advantage Eyecare

LBN: Charles H. Rutan, O.D.
Advantage Eyecare is an health care organization with primary practice located at 224 Elm St , Clinton IN 47842-2312. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Charles H. Rutan, O.D. can be contacted via phone (765) 832-3292, or through Rutan, Charles Hugh via phone (765) 832-3292.

Contact Information

Primary practice address
224 Elm St Clinton IN 47842-2312
Fax: (765) 832-9730
Website:
Authorized official contact:
Name: Rutan, Charles Hugh Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 18002266A Indiana

Profile Details

NPI number 1639347743
LBN Legal business name Charles H. Rutan, O.D.
DBA Doing business as Advantage Eyecare
Authorized official Rutan, Charles Hugh Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2008
Last updated Aug 2nd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639347743 NPPES
Indiana MEDICAID 100243930

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