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MICHIANA EYE CENTER LLC NPI 1083907992


NPI Information

NPI: 1083907992
Provider Name: MICHIANA EYE CENTER , LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2216 CASSOPOLIS ST
ELKHART, IN
ZIP 46514
Phone: (574) 266-2111
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MICHIANA EYE CENTER , LLC is an ophthalmology in Elkhart, IN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MICHIANA EYE CENTER , LLC NPI is 1083907992. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2216 CASSOPOLIS ST
ELKHART, IN
ZIP 46514
Phone: (574) 266-2111
Fax: (574) 266-0555

The provider's authorized official is Kevin R Baxter .
The authorized official title is Owner/ophthalmologists and has the following contact phone number (574) 271-3939.

The enumeration date for this NPI number is 5/25/2011 and was last updated on 6/18/2018.


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
1152W00000XOptometristNo
2174400000XSpecialistNo
32082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5207W00000XOphthalmologyYes

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
1DA1128OTHERINDIANARR MEDICARE
2100092980MEDICAIDINDIANA

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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