Michiana Eye Center Llc in Mishawaka - Plastic Surgery Within The Head And Neck
Michiana Eye Center Llc - NPI 1396722070
Michiana Eye Center Llc is a Plastic Surgery Within The Head And Neck in Mishawaka, 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 1396722070. The last update date is 2018-06-18.
Michiana Eye Center Llc's current location address is 230 E Day Rd, Mishawaka, Indiana. You can contact this provider via phone number 5742713939 and fax number 5742713941. The mailing address for Michiana Eye Center Llc is 230 E Day Rd, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Michiana Eye Center Llc |
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Address | 230 E Day Rd, Mishawaka, Indiana |
Phone Number | 5742713939 |
Fax Number | 5742713941 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/OPHT |
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Authorized Official Name | Baxter R Kevin |
Credentials | DO |
Telephone Number | 5742713939 |
NPI Number Detail
NPI Number | 1396722070 |
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Provider Enumeration Date | 2005-12-23 |
Last Updated Date | 2018-06-18 |
Provider Mailing Address Detail
Address | 230 E Day Rd |
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City | Mishawaka |
State | Indiana (IN) |
Post Code | 465453408 |
Phone Number | 5742713939 |
Fax Number | 5742713941 |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery Within The Head And Neck |
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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 |
---|---|---|---|
DA1128 | IN | RAILROAD MEDICARE | |
100092980 | IN | -- |
Post Comment/ Review Below
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) 1396722070. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier 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) 1396722070 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Michiana Eye Center Llc is located?
The Michiana Eye Center Llc is situated at the following address: 230 E Day Rd, Mishawaka, IN, 465453408.
On what date did Michiana Eye Center Llc receive its 1396722070 assignment from the Centers for Medicare & Medicaid Services?
The Michiana Eye Center Llc was assigned its 1396722070 on 2005-12-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Michiana Eye Center Llc most recently updated or refreshed?
The details pertaining to the Michiana Eye Center Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-06-18.