Thomas L Hauch
Ophthalmologist Retina Specialist
53822 Generations Dr
South Bend
, Indiana 46635-1543
Thomas L Hauch
Ophthalmologist Retina Specialist
53822 Generations Dr
South Bend
, Indiana 46635-1543
(574) 233-3711
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About
Features
Specialties
- Ophthalmologist
- Retina Specialist
Languages spoken
- English
Location
First Address
- Thomas L Hauch
- 53822 Generations Dr
- South Bend, IN
- Zip : 46635-1543
- Fax : (574) 233-3711
- Phone : (574) 233-3711
Second Address
- Thomas L Hauch
- 53822 Generations Dr
- South Bend, IN
- Zip : 46635-1543
- Fax : (574) 288-1702
- Phone : (574) 233-3711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 01031702A | IN |
| N | 207WX0107X | Retina Specialist | 01031702A | IN |
National Provider Identifier
| NPI | 1023017902 |
|---|---|
| Provider Name | Thomas L Hauch |
| First Address | South Bend, IN 46635-1543 |
| Second Address | South Bend, IN 46635-1543 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2005 |
| Last Update Date | 12/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000085337 | BLUE SHIELD (01) | IN |
| 000000550278 | ANTHEM (01) | IN |
| 100223500 | (05) | IN |
| 1785780 | (05) | MI |
| 200883090A | (05) | IN |
| C25587 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.