Individual
DR. CHARLES MICHAEL HUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4020 LAFAYETTE RD, INDIANAPOLIS, IN 46254-2506
(317) 293-9314
(317) 295-0223
Mailing address
6642 ANTELOPE CIR, INDIANAPOLIS, IN 46278-1896
(317) 387-9713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002428
IN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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