Dr. Rod C Kaufman, O.D.
Optometrist in Syracuse, IN. Individual provider (NPI-1).
NPI number1639171978
StatusActive
Last updated in NPPESJul 6, 2010
Details
- NPI
- 1639171978
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rod C Kaufman
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2005
- Last updated
- Jul 6, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 18002241 | IN | Yes |
Practice location
406 N Huntington StSyracuse, IN 46567-1226
Phone 574-457-4476 · Fax 574-457-5196
Mailing address
406 N Huntington StSyracuse, IN 46567-1226
Phone 574-457-4476 · Fax 574-457-5196
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