Organization
MICHIANA EYE CENTER , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN R BAXTER DO (OWNER/OPHTHALMOLOGISTS)
(574) 271-3939
Entity
Organization
Contact information
Practice address
2216 CASSOPOLIS ST, ELKHART, IN 46514
(574) 266-2111
(574) 266-0555
Mailing address
230 E DAY RD STE 100, MISHAWAKA, IN 46545-3408
(574) 271-3939
(574) 271-3941
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
174400000X
Specialist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092980
—
IN
01
—
DA1128
RR MEDICARE
IN
Enumeration date
05/25/2011
Last updated
06/18/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up