Individual
DR. CHARLES DIRK TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
980 AVERITT RD, GREENWOOD, IN 46143-9540
(317) 881-4143
(317) 881-5072
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18001973
IN
152W00000X
Optometrist
Primary
18001973A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000091935
ANTHEM BCBS
IN
01
—
0503450001
DURABLE MEDICAL EQUIPMENT
IN
05
—
100193940A
—
IN
01
—
410032688
RAILROAD MEDICARE
IN
01
—
5895547
AETNA USHC
IN
01
—
IN1973
EYEMED VISION CARE
IN
01
—
NA
VISION SERVICE PLAN
IN
01
—
T88595
UPIN
IN
Enumeration date
09/13/2005
Last updated
04/04/2022
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