Organization
EYE CENTER GROUP, LLC
Active
Other names
Portland Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S RAPKIN M.D. (PART OWNER)
(765) 286-8888
Entity
Organization
Contact information
Practice address
1111 N MERIDIAN ST, PORTLAND, IN 47371-1024
(260) 726-4210
(260) 726-9347
Mailing address
PO BOX 457, RICHMOND, IN 47375-0457
(765) 966-1945
(765) 966-2975
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085863
—
OH
Enumeration date
11/01/2005
Last updated
03/14/2008
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