Individual
ROBERT ALAN ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
781 E NORTH STREET, KENDALLVILLE, IN 46755-1225
(260) 347-3458
(260) 347-4425
Mailing address
781 E NORTH STREET, KENDALLVILLE, IN 46755-1225
(260) 347-3458
(260) 347-4425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001875A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100280550A
—
IN
05
—
100355140A
—
IN
Enumeration date
06/17/2005
Last updated
07/20/2016
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