Michiana Eye Center Llc in Plymouth - Plastic Surgery Within The Head And Neck
Michiana Eye Center Llc - NPI 1316005911
Michiana Eye Center Llc is a Plastic Surgery Within The Head And Neck in Plymouth, Indiana. Michiana Eye Center Llc practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Michiana Eye Center Llc is 1316005911. The last update date is 2018-06-18.
Michiana Eye Center Llc's current location address is 320 Meadow Ln, Plymouth, Indiana. You can contact this provider via phone number 5749354480 and fax number 5749412040. The mailing address for Michiana Eye Center Llc is 320 Meadow Ln, Plymouth, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michiana Eye Center Llc |
|---|---|
| Address | 320 Meadow Ln, Plymouth, Indiana |
| Phone Number | 5749354480 |
| Fax Number | 5749412040 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/OPHT |
|---|---|
| Authorized Official Name | Baxter R Kevin |
| Credentials | DO |
| Telephone Number | 5742713939 |
NPI Number Detail
| NPI Number | 1316005911 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2018-06-18 |
Provider Mailing Address Detail
| Address | 320 Meadow Ln |
|---|---|
| City | Plymouth |
| State | Indiana (IN) |
| Post Code | 46563 |
| Phone Number | 5749354480 |
| Fax Number | 5749412040 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
|
Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100092980 | IN | -- | |
| DA1130 | IN | RAILROAD MEDICARE | |
| 204460 | IN | MEDICARE PTAN |
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What is the unique identification code assigned to Michiana Eye Center Llc by the Centers for Medicare & Medicaid Services?
The Michiana Eye Center Llc has been issued the NPI (National Provider Identifier) 1316005911. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michiana Eye Center Llc located?
The Michiana Eye Center Llc is located at 320 Meadow Ln, Plymouth, IN 46563.
What is the Michiana Eye Center Llc's area of specialization and corresponding taxonomy classification?
The Michiana Eye Center Llc's specialty field is Plastic Surgery Within The Head And Neck, and it falls under the taxonomy code 2082S0099X, which categorizes healthcare providers based on their specialties.
On what date did the Michiana Eye Center Llc receive the assignment of its 1316005911 from the Centers for Medicare & Medicaid Services?
The Michiana Eye Center Llc was issued its 1316005911 by the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the information regarding Michiana Eye Center Llc most recently updated?
The details pertaining to the Michiana Eye Center Llc, including its address, specialty, and other relevant information, were last refreshed on 2018-06-18.
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