MICHIANA EYE CENTER LLC (NPI# 1316005911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316005911 |
| Entity Type | Organization |
| Organization Name | MICHIANA EYE CENTER LLC |
| Practice Address |
320 Meadow Ln Plymouth IN 46563 |
| Mailing Address |
230 E Day Rd Ste 100 Mishawaka IN 46545-3408 |
| Practice Telephone | 5749354480 |
| Practice Fax Number | 5749412040 |
| Mailing Telephone | 5742713939 |
| Mailing Fax Number | 5742713941 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | KEVIN R BAXTER (OWNER/OPHTHALMOLOGIST) |
| Authorized Official Telephone | 5742713939 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100092980 | 05 | |
| IN | MEDICARE PTAN | 204460 | 01 |
| IN | RAILROAD MEDICARE | DA1130 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1073671731 | Michiana Eye Center LLC | Plastic Surgery | 319 N Niles Ave # 100, South Bend, IN 46617 | 2006-12-05 |
| 1396722070 | Michiana Eye Center LLC | Optometrist | 230 E Day Rd, 100, Mishawaka, IN 46545 | 2005-12-23 |
| Street Address |
320 MEADOW LN |
| City | PLYMOUTH |
| State | IN |
| Zip Code | 46563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
| 1356473060 | Donna Michelle Eggers | Speech-Language Pathologist | 1915 Lake Avenue, Plymouth, IN 46563 | 2007-03-09 |
| 1629103684 | Marshall County Council On Aging | Home Delivered Meals | 1305 W Harrison Street, Plymouth, IN 46563 | 2007-02-22 |
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
| 1508932252 | Thomas A Miller | Chiropractor | 1071 Lincolnway E, Plymouth, IN 46563 | 2006-11-27 |
| 1679540991 | Mukesh Garg | Internal Medicine | 2349 Lake Ave Ste 99, Plymouth, IN 46563 | 2006-03-06 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| 1144229121 | Michele A Schricker | Social Worker | 990 Illinois St, Plymouth, IN 46563 | 2005-07-20 |
| Find all providers in zip 46563 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1407879158 | Steven B Robin | Ophthalmology | 4100 Berkshire Ln N Ste 100, Plymouth, MN 55446-3836 | 2006-07-25 |
| 1659338770 | Associated Eye Surgeons | Ophthalmology | 45 Resnik Rd Ste 301, Plymouth, MA 02360-4882 | 2006-05-01 |
| 1053377143 | John Stewart Richards | Ophthalmology | 103 Boulder Point Drive, Plymouth, NH 03264-3156 | 2006-04-26 |
| 1194794958 | Daniel J O'connor | Ophthalmology | 146 Industrial Park Rd, Plymouth, MA 02360-7243 | 2006-03-15 |
| 1255839486 | Associated Eye Surgeons | Ophthalmology | 45 Resnik Rd Ste 301, Plymouth, MA 02360-4883 | 2018-01-23 |
| 1255722906 | Post, Oconnor & Kadrmas Eye Centers Dba Kadrmas Eye Care New England | Ophthalmology | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2015-02-16 |
| 1932330990 | David Carleton Reed | Ophthalmology | 146 Industrial Park Rd, Plymouth, MA 02360-7243 | 2009-08-06 |
| 1306012950 | Shazia Saman Ahmed | Ophthalmology | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2008-05-05 |
| 1134273832 | Eye Care Specialists, P.C. | Ophthalmology | 1 E Main St, Plymouth, PA 18651-3036 | 2007-01-22 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.