CHARLES HUGH RUTAN O.D. NPI 1487643268

NPI Information

  • NPI: 1487643268
  • Provider Name: CHARLES HUGH RUTAN, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 15D2087288
  • Address: 224 ELM ST
    CLINTON, IN
    ZIP 47842
  • Phone: (765) 832-3292

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NPI Details

Charles Hugh Rutan, O.D. is an optometrist in Clinton, IN with 39 years of experience. The provider is 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. Charles Hugh Rutan, O.D. NPI is 1487643268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

224 ELM ST
CLINTON, IN
ZIP 47842-312
Phone: (765) 832-3292
Fax: (765) 832-9730

The NPI 1487643268 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The CLIA number assigned to this NPI record is 15D2087288 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of retina (HCPCS:92134)
  • Microfluid analysis of tears (HCPCS:83861)
  • Analysis of substance using immunoassay technique, multiple step method (HCPCS:83516)
  • Imaging of optic nerve (HCPCS:92133)
  • New patient complete exam of visual system (HCPCS:92004)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Photography of the retina (HCPCS:92250)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 10/14/2005 and was last updated on 8/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact Management18002266AINDIANANo
2152WL0500XOptometristLow Vision Rehabilitation1800226AINDIANANo
3152WP0200XOptometristPediatrics18002266AINDIANANo
4152W00000XOptometrist18002266AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1351776119OTHERINDIANATRICARE
20451720001MEDICARE NSCINDIANA
3100243930COTHERINDIANAMEDICAID LOCATION C
4000000087765OTHERINDIANABLUE CROSS BLUE SHIELD
5858880MEDICARE PININDIANA
6T35080MEDICARE UPININDIANA
7100243930MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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