Individual
DR. MARK A HOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3818 W WOODYARD RD, BLOOMINGTON, IN 47404-1430
(812) 325-3611
Mailing address
100 BYPASS 50 PLZ, WASHINGTON, IN 47501-4180
(812) 254-6894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003478A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200882060
—
IN
Enumeration date
08/17/2007
Last updated
08/15/2013
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