Organization
HOUCK EYE CARE AND REFRACTIVE SURGERY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAMES HOUCK M.D. (PRESIDENT)
(219) 874-8086
Entity
Organization
Contact information
Practice address
2940 MOUNT CLAIR WAY, LONG BEACH, IN 46360-1769
(219) 874-8086
(219) 879-5013
Mailing address
PO BOX 9006, MICHIGAN CITY, IN 46361-9006
(219) 874-8086
(219) 879-5013
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01018052A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082446
ANTHEM
IN
05
—
100162510
—
IN
Enumeration date
06/06/2007
Last updated
11/25/2014
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