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MUNCIE CATARACT & LASER EYE CENTER LLC NPI 1669477899


NPI Information

NPI: 1669477899
Provider Name: MUNCIE CATARACT & LASER EYE CENTER, LLC
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

CLIA Number: 15D0975329

Address:
3300 W PURDUE AVE
MUNCIE, IN
ZIP 47304
Phone: (765) 288-1935
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MUNCIE CATARACT & LASER EYE CENTER, LLC is an ophthalmologic surgery clinic center in Muncie, IN. MUNCIE CATARACT & LASER EYE CENTER, LLC NPI is 1669477899. The provider is registered as an organization entity type.

The provider's business location address is:

3300 W PURDUE AVE
MUNCIE, IN
ZIP 47304-355
Phone: (765) 288-1935
Fax: (765) 289-5032

The provider's authorized official is Vasilis Makris .
The authorized official title is Medical Director and has the following contact phone number (765) 288-1935.

The CLIA number assigned to this NPI record is 15D0975329 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2005 and was last updated on 11/6/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalINDIANANo
2261QS0132XClinic/CenterOphthalmologic SurgeryINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200382930AMEDICAIDINDIANA
2ZN0920MEDICARE PININDIANA
3200316890AMEDICAIDINDIANA

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: 4/28/2024

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