Organization
CHARLES H. RUTAN, O.D.
Active
Other names
Advantage Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HUGH RUTAN O.D. (OWNER / OPTOMETRIST)
(765) 832-3292
Entity
Organization
Contact information
Practice address
224 ELM ST, CLINTON, IN 47842-2312
(765) 832-3292
(765) 832-9730
Mailing address
224 ELM ST, CLINTON, IN 47842-2312
(765) 832-3292
(765) 832-9730
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18002266A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243930
—
IN
Enumeration date
02/12/2008
Last updated
08/02/2012
Update your record
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