Kautzman, Richard L

Kautzman, Richard L is an individual health care provider with primary practice located at 7250 Clearvista Dr Suite180, Indianapolis IN 46256-4692. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kautzman, Richard L can be contacted via phone (317) 356-1500.

Contact Information

Primary practice address
7250 Clearvista Dr Suite180 Indianapolis IN 46256-4692
Phone: (317) 356-1500
Fax: (317) 357-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001906B Indiana

Profile Details

NPI number 1407845928
LBN Legal business name Kautzman, Richard L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Nov 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407845928 NPPES
Indiana MEDICAID 100172540
Indiana Other P00948130

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