Michiana Eye Center LLC

NPI #1659670685 in Goshen, Indiana

Provider Information

NPI Number
1659670685
Entity Type
Organization
Organization Name
Michiana Eye Center LLC
Primary Specialty
Optometrist
Enumeration Date
Mar 16, 2011
Last Updated
Jun 18, 2018

Practice Location

Address
1747 STAFFORD CT
City
Goshen
State
Indiana
ZIP Code
46526
Phone
(574) 533-0100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Optometrist
Specialist
Ophthalmology
Plastic Surgery - Plastic Surgery Within the Head and NeckPlastic Surgery Within the Head and Neck
Durable Medical Equipment & Medical Supplies

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