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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us