Michiana Eye Center Llc is a medicare enrolled "Ophthalmology" provider in South Bend, Indiana. Their current practice location is
319 N Niles Ave # 100, South Bend, Indiana. You can reach out to their office (for appointments etc.) via phone at
(574) 282-2020.
Michiana Eye Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Michiana Eye Center Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073671731.
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 | 319 N Niles Ave # 100, South Bend, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073671731
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 06/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 3173595634
- Enrollment ID: O20100930009052
Medical Identifiers
Medical identifiers for Michiana Eye Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073671731 | NPI | - | NPPES |
| 204460 | Other | IN | MEDICARE PTAN |
| 100092980 | Medicaid | IN | |
| DA1131 | Other | IN | RAILROAD MEDICARE |
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
enrolled with medicare and thus, if eligible, can 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
319 N Niles Ave # 100,
South Bend, IN 46617
Ph: (574) 282-2020 |
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