Provider Demographics
NPI:1063601870
Name:M & H SERVICES,INC
Entity type:Organization
Organization Name:M & H SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-847-4439
Mailing Address - Street 1:88 1ST ST SE
Mailing Address - Street 2:
Mailing Address - City:LINTON
Mailing Address - State:IN
Mailing Address - Zip Code:47441-1829
Mailing Address - Country:US
Mailing Address - Phone:812-847-4439
Mailing Address - Fax:812-847-4430
Practice Address - Street 1:88 1ST ST SE
Practice Address - Street 2:
Practice Address - City:LINTON
Practice Address - State:IN
Practice Address - Zip Code:47441-1829
Practice Address - Country:US
Practice Address - Phone:812-847-4439
Practice Address - Fax:812-847-4430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18001738B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100125030AMedicaid
IN410046172OtherRR MEDICARE
IN100125030AMedicaid
IN301530AMedicare PIN
IN0713850001Medicare NSC