CHARLES HUGH RUTAN (NPI# 1487643268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487643268 |
| Entity Type | Individual |
| Full Name | CHARLES HUGH RUTAN |
| Credential | O.D. |
| Practice Address |
224 Elm St Clinton IN 47842-2312 |
| Practice Telephone | 7658323292 |
| Practice Fax Number | 7658329730 |
| Mailing Telephone | 7658323292 |
| Mailing Fax Number | 7658329730 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2012-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18002266A | IN | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
18002266A | IN | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1800226A | IN | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
18002266A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICAID LOCATION C | 100243930C | 01 |
| IN | TRICARE | 351776119 | 01 |
| IN | BLUE CROSS BLUE SHIELD | 000000087765 | 01 |
| IN | 100243930 | 05 |
| Street Address |
224 ELM ST |
| City | CLINTON |
| State | IN |
| Zip Code | 47842-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639347743 | Charles H. Rutan, O.d. | Eyewear Supplier (Equipment, not the service) | 224 Elm St, Clinton, IN 47842-2312 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841582 | Autumn Brooke Trifone | Pharmacist | 1795 In 163, Clinton, IN 47842 | 2020-11-04 |
| 1174064414 | Venkataramanaiah Kamatam | Physical Therapist | 957 S Main St, Apt :2, Clinton, IN 47842 | 2017-03-20 |
| 1134561491 | Jamileh Farid | Pharmacist | 801 S Main, Union Hospital Clinton Pharmacy, Clinton, IN 47842 | 2013-07-26 |
| 1396289286 | Indiana Hearing LLC | Hearing Aid Equipment | 226 Elm St, Clinton, IN 47842 | 2016-12-12 |
| 1285070177 | Jeffrey Kent Binder | Chiropractor | 119 S. Main St., Clinton, IN 47842 | 2013-05-17 |
| 1679756753 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 375 S 11th St, Clinton, IN 47842 | 2007-12-11 |
| 1699115253 | Crown Hill Dentistry LLC | Dentist | 1792 E State Highway 163, Clinton, IN 47842-0160 | 2013-06-27 |
| 1144437237 | South Vermillion Community School Corporation | Student in an Organized Health Care Education/Training Program | 800 W. Wildcat Dr., Clinton, IN 47842-0387 | 2007-05-17 |
| 1174511224 | Heritage House of Clinton, Inc. | Skilled Nursing Facility | 375 S 11th St, Clinton, IN 47842-1053 | 2005-10-12 |
| 1467003418 | Brooke N Janes | Physical Therapy Assistant | 375 S 11th St, Clinton, IN 47842-1053 | 2019-09-21 |
| Find all providers in zip 47842 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443159 | National Vision Inc | Optometrist | 1917 W 1800 N Ste D1, Clinton, UT 84015-8558 | 2020-06-25 |
| 1871041707 | Megan Claire Mannen | Optometrist | 1448 N 2000 W Ste 3, Clinton, UT 84015 | 2016-09-20 |
| 1609231752 | Steven D. Elliott, O.d. & Associates, Inc. | Optometrist | 2681 Andersonville Hwy Ste 101, Clinton, TN 37716-6706 | 2015-12-16 |
| 1558737197 | Spectrum Eye Care Solutions,llc | Optometrist | 5054 Williamson Rd, Clinton, MS 39056-9413 | 2015-08-18 |
| 1245621978 | Ija Development Firm LLC | Optometrist | 123a Highway 80 E, Clinton, MS 39056-4738 | 2015-02-17 |
| 1336427822 | Capitaleyes, Inc | Optometrist | 929 Highway 80 E, Clinton, MS 39056-5246 | 2011-08-01 |
| 1093955262 | Tonya Cannon Stewart, Od, Pllc | Optometrist | 45 West Lakeview Drive, Clinton, MS 39056-5221 | 2009-03-02 |
| 1366605396 | Gene L Christensen | Optometrist | 1632 N 2000w, Clinton, UT 84015 | 2008-07-09 |
| 1164619094 | Ray N Labelle | Optometrist | 106 Indian Hills Cir, Clinton, TN 37716-6562 | 2007-09-25 |
| 1144422577 | Optical 2000 | Optometrist | 815 Highway 80 E, Clinton, MS 39056-5252 | 2007-06-05 |
| Find all providers in CLINTON | ||||
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| 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.