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Organization

STEVEN R. RUTAN, O.D., INC

Active
Other names
Rutan Optometry Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN RAY RUTAN O.D. (PRESIDENT)
(260) 484-1453
Entity
Organization

Contact information

Practice address
5229 COLDWATER RD, FORT WAYNE, IN 46825-5538
(260) 484-1453
(260) 483-8287
Mailing address
5229 COLDWATER RD, FORT WAYNE, IN 46825-5538
(260) 484-1453
(260) 483-8287

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100054070A
IN
Enumeration date
02/23/2006
Last updated
07/06/2010
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