Michiana Eye Center Llc

LBN: Michiana Eye Center Llc
Michiana Eye Center Llc is an health care organization with primary practice located at 1747 Stafford Ct , Goshen IN 46526. 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) 533-0100, or through Baxter, Kevin R via phone (574) 271-3939.

Contact Information

Primary practice address
1747 Stafford Ct Goshen IN 46526
Phone: (574) 533-0100
Fax: (574) 534-3479
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 / Ophthalmology 207W00000X Indiana
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1659670685
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 Mar 16th, 2011
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 1659670685 NPPES
Indiana Other DA1128 RR MEDICARE
Indiana MEDICAID 100092980 RR MEDICARE

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