Houck Eye Care and Refractive Surgery Center, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01018052A Issued in IN

Legal business name

HOUCK EYE CARE AND REFRACTIVE SURGERY CENTER, PC

Practice address

2940 Mount Clair Way
Long Beach, IN 46360-1769

Phone

(219) 874-8086

Fax

(219) 879-5013

NPI assigned

Jun 6, 2007

Organization subpart

No

Name

Dr. Richard James Houck, M.D.

Title

President

Phone

(219) 874-8086

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathaleen L Thomas, FNP

  • Family Nurse Practitioner
  • Mishawaka, IN
  • NPI 1821150426
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2014.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1053514166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9006",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463619006",
            "telephone_number": "219-874-8086",
            "fax_number": "219-879-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 MOUNT CLAIR WAY",
            "city": "LONG BEACH",
            "state": "IN",
            "postal_code": "463601769",
            "telephone_number": "219-874-8086",
            "fax_number": "219-879-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUCK EYE CARE AND REFRACTIVE SURGERY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-874-8086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01018052A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000082446",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100162510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian David Kanyer, PT
• Mary Ellen Kolodiej Moehlenhof, RDN
• Stephanos Rizos, MD
• Kenneth P Rottman, D.D.S.
• Jeffrey Seizys, M.D.

• All providers in Long Beach, IN
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.