Michiana Eye Center , Llc is a
Ophthalmology based in Elkhart, Indiana. Michiana Eye Center , Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2216 Cassopolis St, Elkhart, Indiana. It can be reached at their office (for appointments etc.) via phone at
(574) 266-2111.
NPI number for Michiana Eye Center , Llc is 1083907992 and their current mailing address is 230 E Day Rd Ste 100, Mishawaka, Indiana. Michiana Eye Center , Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1083907992.
Healthcare Provider's Profile
| Full Name | Michiana Eye Center , Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 2216 Cassopolis St, Elkhart, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083907992
- Provider Enumeration Date: 05/25/2011
- Last Update Date: 06/18/2018
Medical Identifiers
Medical identifiers for Michiana Eye Center , Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083907992 | NPI | - | NPPES |
| DA1128 | Other | IN | RR MEDICARE |
| 100092980 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michiana Eye Center , Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michiana Eye Center , Llc
230 E Day Rd Ste 100,
Mishawaka, IN 46545-3408
Ph: (574) 271-3939 | Michiana Eye Center , Llc
2216 Cassopolis St,
Elkhart, IN 46514
Ph: (574) 266-2111 |
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