Organization
SUSAN HOUCHIN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E HOUCHIN O.D. (OWNER)
(219) 226-9477
Entity
Organization
Contact information
Practice address
10751 RANDOLPH ST, CROWN POINT, IN 46307-7615
(219) 226-9477
(219) 226-9481
Mailing address
10751 RANDOLPH ST, CROWN POINT, IN 46307-7615
(219) 226-9477
(219) 226-9481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002870B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200393740
—
IN
Enumeration date
11/29/2007
Last updated
12/04/2008
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