Charles H. Rutan, O.d.

NPI #1639347743 in Clinton, Indiana

Provider Information

NPI Number: 1639347743
Entity Type: Organization
Organization Name: Charles H. Rutan, O.d.
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 12, 2008
Last Updated: Aug 2, 2012

Practice Location

Address: 224 ELM ST
City: Clinton
State: Indiana
ZIP Code: 47842-2312
Phone: (765) 832-3292

Authorized Official

Name: CHARLES HUGH RUTAN, O.D.
Title: OWNER / OPTOMETRIST
Phone: (765) 832-3292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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