Organization Active NPI

Paul R. Honan, Jr MD Inc

  • Ophthalmology Physician
  • Lebanon, IN
National Provider Identifier
1700056579
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01015185 Issued in IN
Legal business name
PAUL R. HONAN, JR MD INC
Practice address
1720 N Lebanon St
Lebanon, IN 46052-1501
Phone
(765) 482-1954
Fax
(765) 482-5660
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Dr. Paul R Honan Jr., M.D.
Title
Owner
Phone
(765) 482-1954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 01015185 IN Primary

Addresses

Primary practice location

1720 N Lebanon St
Lebanon, IN 46052-1501

Mailing address

1720 N Lebanon St
Lebanon, IN 46052-1501
Phone (765) 482-1954

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1700056579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521501",
            "telephone_number": "765-482-1954",
            "fax_number": "765-482-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521501",
            "telephone_number": "765-482-1954",
            "fax_number": "765-482-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. HONAN, JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "HONAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-482-1954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01015185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.