HOUCK EYE CARE AND REFRACTIVE SURGERY CENTER, PC


Address: 2940 Mount Clair Way, Long Beach, IN 46360-1769
Phone: 2198748086

HOUCK EYE CARE AND REFRACTIVE SURGERY CENTER, PC (NPI# 1053514166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053514166
Entity Type Organization
Organization Name HOUCK EYE CARE AND REFRACTIVE SURGERY CENTER, PC
Practice Address 2940 Mount Clair Way
Long Beach
IN 46360-1769
Mailing Address Po Box 9006
Michigan City
IN 46361-9006
Practice Telephone 2198748086
Practice Fax Number 2198795013
Mailing Telephone 2198748086
Mailing Fax Number 2198795013
Enumeration Date 2007-06-06
Last Update Date 2014-11-25
Authorized Official Name DR. RICHARD JAMES HOUCK (PRESIDENT)
Authorized Official Telephone 2198748086
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 01018052A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM 000000082446 01
IN 100162510 05

Office Location

Street Address 2940 MOUNT CLAIR WAY
City LONG BEACH
State IN
Zip Code 46360-1769

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1235523952 Marnee Flinn-smith Specialist/Technologist 8466 Pahs Rd, Michigan City, IN 46360 2015-03-19
1184976359 Kelly Stewart Physical Therapist 301 Homer Street, Michigan City, IN 46360 2012-10-11
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649565920 Morgan E Renner Ophthalmology 3816 Woodruff Ave Ste 100, Long Beach, CA 90808-2145 2011-06-14
1891026969 Eye Treatment Center, An Incorporated Medical Group, Inc Ophthalmology 1150 E 4th St, Long Beach Senior Center, Long Beach, CA 90802-1735 2010-01-28
1851620959 Rmg, Apc Ophthalmology 5471 E The Toledo, Long Beach, CA 90803-3953 2009-12-18
1619165446 Hertzog Eye Associates A Medical Corporation Ophthalmology 5094 E Los Coyotes Diagonal, Long Beach, CA 90815-2839 2007-10-05
1396840708 Bruce A Fastenberg Ophthalmology 260 West Broadway, Suite 6f, Long Beach, NY 11561 2006-09-13
1710093083 Carlos Enrique Martinez Ophthalmology 3325 Palo Verde Avenue, Suite 103, Long Beach, CA 90808-4132 2006-08-21
1902837941 Eyecare Specialists Medical Group Ophthalmology 5991 E Spring St, Long Beach, CA 90808-3752 2006-07-06
1508897893 H L Sulit Medical Professional Corp Ophthalmology 825 Pacific Ave, Long Beach, CA 90813-4225 2006-07-05
1104827591 Herbert C Henken Ophthalmology 511 E Park Ave, Long Beach, NY 11561-3741 2005-08-09
1568468106 Stephen Andrew Wigginton Ophthalmology 709 E Anaheim St, Long Beach, CA 90813-3507 2005-06-27
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Competitor

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City LONG BEACH
Zip Code 46360

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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