Rutan, Charles Hugh

Rutan, Charles Hugh is an sole proprietor health care provider with primary practice located at 224 Elm St , Clinton IN 47842-2312. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Rutan, Charles Hugh can be contacted via phone (765) 832-3292.

Contact Information

Primary practice address
224 Elm St Clinton IN 47842-2312
Fax: (765) 832-9730
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002266A Indiana
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 18002266A Indiana
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1800226A Indiana
Eye and Vision Services Providers / Pediatrics 152WP0200X 18002266A Indiana

Profile Details

NPI number 1487643268
LBN Legal business name Rutan, Charles Hugh
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Aug 2nd, 2012 - about 12 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 1487643268 NPPES
Indiana Other 351776119 TRICARE
Indiana Other 000000087765 TRICARE
Indiana Other 100243930C TRICARE
Indiana MEDICAID 100243930 TRICARE

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