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Organization

MIDWEST CENTER FOR SIGHT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL AFSHEEN BEHFOROUZ M.D. (MANAGING MEMBER)
(317) 334-4424
Entity
Organization

Contact information

Practice address
3985 W 106TH ST, SUITE 120, CARMEL, IN 46032-7778
(317) 334-4424
(317) 334-4425
Mailing address
3985 W 106TH ST, SUITE 120, CARMEL, IN 46032-7778
(317) 334-4424
(317) 334-4425

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01046877
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000290437
ANTHEM
IN
01
000000493778
ANTHEM
IN
01
310962703
TRICARE
IN
01
7076871
AETNA
IN
01
7590106
AETNA
IN
Enumeration date
08/29/2006
Last updated
10/24/2008
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