Organization Active NPI

Susan Houchin OD PC

  • Optometrist
  • Crown Point, IN
National Provider Identifier
1124200373
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002870B Issued in IN
Legal business name
SUSAN HOUCHIN OD PC
Practice address
10751 Randolph St
Crown Point, IN 46307-7615
Phone
(219) 226-9477
Fax
(219) 226-9481
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Susan E Houchin, O.D.
Title
Owner
Phone
(219) 226-9477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002870B IN Primary

Addresses

Primary practice location

10751 Randolph St
Crown Point, IN 46307-7615

Mailing address

10751 Randolph St
Crown Point, IN 46307-7615
Phone (219) 226-9477

Other identifiers 1

IdentifierTypeStateIssuer
200393740MedicaidIN

National Provider Directory

National Provider Directory

Locations

6933 Calumet Ave
Hammond, IN 46324
Phone (219) 933-9320

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1124200373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10751 RANDOLPH ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077615",
            "telephone_number": "219-226-9477",
            "fax_number": "219-226-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 RANDOLPH ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077615",
            "telephone_number": "219-226-9477",
            "fax_number": "219-226-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN HOUCHIN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "HOUCHIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-226-9477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002870B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200393740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.