Organization
PAUL R. HONAN, JR MD INC
Active
Parent organization
PAUL R HONAN, M.D.
Other names
Lebanon Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAUL R HONAN, M.D.
Authorized official
PAUL R. HONAN JR. M.D. (PRESIDENT)
(765) 482-1954
Entity
Organization
Contact information
Practice address
1720 N LEBANON ST, LEBANON, IN 46052-1501
(765) 482-1954
Mailing address
1720 N LEBANON ST, LEBANON, IN 46052-1501
(765) 482-1954
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
01015185
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000082477
BCBS
IN
05
—
100062980
—
IN
01
—
181760398
MEDICARE RET RAILROAD
—
Enumeration date
03/13/2007
Last updated
10/02/2012
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