Organization
MUNCIE CATARACT & LASER EYE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASILIS MAKRIS M.D. (MEDICAL DIRECTOR)
(765) 288-1935
Entity
Organization
Contact information
Practice address
3300 W PURDUE AVE, MUNCIE, IN 47304-6355
(765) 288-1935
(765) 289-5032
Mailing address
3300 W PURDUE AVE, MUNCIE, IN 47304-6355
(765) 288-1935
(765) 289-5032
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
IN
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200316890A
—
IN
05
—
200382930A
—
IN
Enumeration date
06/15/2005
Last updated
11/06/2017
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