Michiana Eye Center Llc

LBN: Michiana Eye Center Llc
Michiana Eye Center Llc is an health care organization with primary practice located at 319 N Niles Ave # 100 , South Bend IN 46617. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Michiana Eye Center Llc can be contacted via phone (574) 282-2020, or through Baxter, Kevin R via phone (574) 271-3939.

Contact Information

Primary practice address
319 N Niles Ave # 100 South Bend IN 46617
Phone: (574) 282-2020
Fax: (574) 288-2020
Website:
Map and Directions
Authorized official contact:
Name: Baxter, Kevin R Doctor of Osteopathy (DO)
Phone: (574) 271-3939

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1073671731
LBN Legal business name Michiana Eye Center Llc
DBA Doing business as
Authorized official Baxter, Kevin R Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Jun 18th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073671731 NPPES
Indiana Other 204460 MEDICARE PTAN
Indiana MEDICAID 100092980 MEDICARE PTAN
Indiana Other DA1131 MEDICARE PTAN

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