MICHIANA EYE CENTER LLC (NPI# 1659670685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659670685 |
| Entity Type | Organization |
| Organization Name | MICHIANA EYE CENTER LLC |
| Practice Address |
1747 Stafford Ct Goshen IN 46526 |
| Mailing Address |
230 E Day Rd Ste 100 Mishawaka IN 46545-3408 |
| Practice Telephone | 5745330100 |
| Practice Fax Number | 5745343479 |
| Mailing Telephone | 5742713939 |
| Mailing Fax Number | 5742713941 |
| Enumeration Date | 2011-03-16 |
| 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 | 174400000X | Specialist | Other Service Providers | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207W00000X | Ophthalmology | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | DA1128 | 01 |
| IN | 100092980 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316005911 | Michiana Eye Center LLC | Optometrist | 320 Meadow Ln, Plymouth, IN 46563 | 2006-12-05 |
| 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 |
1747 STAFFORD CT |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| 1326251679 | Natasha Marie Loop | Speech-Language Pathologist | 1721 Greencroft Blvd, Greencroft Retirement Center, Goshen, IN 46526 | 2007-05-07 |
| Find all providers in zip 46526 | ||||
| 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 |
|---|---|---|---|---|
| 1386663839 | Robert Alan Rea | Ophthalmology | 1005 Player Dr, Goshen, IN 46528-2727 | 2006-07-18 |
| 1124002597 | Leslie J Green | Ophthalmology | 1 Hatfield Ln, Ste 3 Eye Physicians of Orange County PC, Goshen, NY 10924-6752 | 2005-11-30 |
| 1992789374 | Yochanan Burnstein | Ophthalmology | 1 Hatfield Lane, Eye Physicians of Orange County, PC, Goshen, NY 10924 | 2005-11-30 |
| 1134354012 | Megan Nichole Heil | Ophthalmology | 1615 Winsted Dr, Goshen, IN 46526-4696 | 2009-05-21 |
| 1013114040 | Irina V Koreen | Ophthalmology | 1 Hatfield Ln, Goshen, NY 10924-6752 | 2007-07-02 |
| 1457331266 | Eye Physicians of Orange County PC | Ophthalmology | 1 Hatfield Lane, Ste 3 Eye Physicians of Orange County PC, Goshen, NY 10924 | 2006-01-18 |
| 1104800234 | Mandes R Kates | Ophthalmology | 1 Hatfield Ln, Suite 3, Goshen, NY 10924-6752 | 2005-12-01 |
| 1922082387 | Mark J Stamm | Ophthalmology | 1 Hatfield Ln, Ste 3 Eye Physicians of Orange County PC, Goshen, NY 10924-6752 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655533 | Vision Care Center LLC | Ophthalmology | 120 Se 4th St Ste 1300, Evansville, IN 47708-1607 | 2020-07-02 |
| 1346860947 | Timecertain, PC | Ophthalmology | 3530 S Keystone Ave, Indianapolis, IN 46227-3611 | 2020-04-23 |
| 1316566797 | Visionary Eye Specialists LLC | Ophthalmology | 9002 N Meridian St Ste 112, Indianapolis, IN 46260-5349 | 2020-04-15 |
| 1467003756 | Rachel Davis | Ophthalmology | 14637 N Gray Rd, Westfield, IN 46062-9274 | 2019-09-27 |
| 1255986162 | Northeast Ophthalmology P C | Ophthalmology | 7750 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-4174 | 2019-08-07 |
| 1033631098 | Cataract Vision Institute Indiana LLC | Ophthalmology | 11595 North Meridian, Ste 175, Carmel, IN 46032 | 2017-07-12 |
| 1356703821 | Anjulie Gang | Ophthalmology | 9002 N Meridian St Ste 100, Indianapolis, IN 46260-5354 | 2016-03-24 |
| 1215302567 | Chad R. Kauffman, Do, LLC | Ophthalmology | 7615 Dean Rd, Indianapolis, IN 46240-3635 | 2015-12-10 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1649665241 | Kevin Bubel | Ophthalmology | 759 45th St Ste 101, Munster, IN 46321-2939 | 2015-03-31 |
| Find all providers with the same taxonomy | ||||
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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.