Michiana Eye Center , LLC

NPI #1083907992 in Elkhart, Indiana

Provider Information

NPI Number: 1083907992
Entity Type: Organization
Organization Name: Michiana Eye Center , LLC
Primary Specialty: Ophthalmology
Enumeration Date: May 25, 2011
Last Updated: Jun 18, 2018

Practice Location

Address: 2216 CASSOPOLIS ST
City: Elkhart
State: Indiana
ZIP Code: 46514
Phone: (574) 266-2111

Authorized Official

Name: KEVIN R BAXTER, DO
Title: OWNER/OPHTHALMOLOGISTS
Phone: (574) 271-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Specialist	174400000X
Plastic Surgery - Plastic Surgery Within the Head and Neck — Plastic Surgery Within the Head and Neck	2082S0099X
Durable Medical Equipment & Medical Supplies	332B00000X
Ophthalmology	207W00000X	Primary

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