Michiana Eye Center Llc is a
Ophthalmology based in Goshen, Indiana. Michiana Eye Center Llc is licensed to practice in Indiana (license number ) and their current practice location is
1747 Stafford Ct, Goshen, Indiana. It can be reached at their office (for appointments etc.) via phone at
(574) 533-0100.
NPI number for Michiana Eye Center Llc is 1659670685 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 1659670685.
Healthcare Provider's Profile
| Full Name | Michiana Eye Center Llc |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 1747 Stafford Ct, Goshen, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659670685
- Provider Enumeration Date: 03/16/2011
- 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 |
|---|
| 1659670685 | 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)) | Secondary |
| 207W00000X | Ophthalmology | (Indiana) | 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
1747 Stafford Ct,
Goshen, IN 46526
Ph: (574) 533-0100 |
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