Titus, Charles Dirk
Titus, Charles Dirk is an sole proprietor health care provider with primary practice located at 980 Averitt Rd , Greenwood IN 46143-9540. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Titus, Charles Dirk can be contacted via phone (317) 881-4143.Contact Information
Primary practice address
980 Averitt Rd
Greenwood IN 46143-9540
Phone: (317) 881-4143
Fax: (317) 881-5072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18001973 | Indiana |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18001973A | Indiana |
Profile Details
| NPI number | 1942295282 |
|---|---|
| LBN Legal business name | Titus, Charles Dirk |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Apr 4th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942295282 | NPPES |
| Indiana | Other | IN1973 | EYEMED VISION CARE |
| Indiana | Other | NA | EYEMED VISION CARE |
| Indiana | Other | 0503450001 | EYEMED VISION CARE |
| Indiana | Other | 5895547 | EYEMED VISION CARE |
| Indiana | Other | NA | EYEMED VISION CARE |
| Indiana | Other | 00000091935 | EYEMED VISION CARE |
| Indiana | MEDICAID | 100193940A | EYEMED VISION CARE |
| Indiana | Other | 410032688 | EYEMED VISION CARE |
| Indiana | Other | T88595 | EYEMED VISION CARE |
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