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MICHIANA EYE CENTER LLC
NPI 1073671731
Ophthalmology in South Bend, IN

Active since December 05, 2006
319 N NILES AVE # 100, SOUTH BEND, IN 46617(574) 282-2020(574) 288-2020 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2018, Aug 29, 2016 (2 updates tracked since 2016).

About Michiana Eye Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIANA EYE CENTER LLC (NPI 1073671731) is a healthcare organization registered as an ophthalmology in South Bend, Indiana and active in the NPI registry since December 2006. The organization lists Kevin R Baxter, Owner/ophthalmologist, as its authorized official.

NPPES Registry Identity

NPI1073671731
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMICHIANA EYE CENTER LLC
Location Address319 N NILES AVE # 100South Bend, IN 46617
Mailing Address230 E Day Rd Ste 100Mishawaka, IN 46545-3408 · (574) 271-3939 · Fax (574) 271-3941
Phone(574) 282-2020
Fax(574) 288-2020
Organization SubpartNo
Authorized OfficialKevin R BaxterOwner/ophthalmologist · (574) 271-3939
Enumeration DateDecember 5, 2006
Last NPPES UpdateJune 18, 20182 updates tracked since enumeration
✔ NPI 1073671731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
Also ListedSpecialistTaxonomy 174400000X
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
319 N NILES AVE # 100, South Bend, IN 46617
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Other Identifiers 3

Medicaid100092980IN
Other204460IN · Medicare Ptan
OtherDA1131IN · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Michiana Eye Center LLC carries, from the Medicare DMEPOS supplier directory.

Michiana Eye Center LLC

DMEPOS supplier · South Bend, IN
✔

Accepts Medicare assignment

Michiana Eye Center LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20600429
Medicare Participant SinceJune 1, 2003
Supplier Location319 N Niles Ave Ste 100South Bend, IN 46617
Phone(574) 282-2020
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michiana Eye Center LLC's NPI number?

The NPI number for Michiana Eye Center LLC is 1073671731. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Michiana Eye Center LLC located?

Michiana Eye Center LLC is located at 319 N Niles Ave # 100, South Bend, IN 46617. The listed phone number is (574) 282-2020.

What is Michiana Eye Center LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Michiana Eye Center LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Michiana Eye Center LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Michiana Eye Center LLC accept?

Health plans from CareSource list Michiana Eye Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michiana Eye Center LLC was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.