MICHIANA EYE CENTER LLC
NPI 1073671731
Ophthalmology in South Bend, IN
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
Specialties & Licenses 5
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michiana Eye Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Michiana Eye Center LLC, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, INAccepts 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.
Medicare Product Categories
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.
Is Michiana Eye Center LLC enrolled in Medicare?
Yes. Michiana Eye Center LLC is registered in the Medicare PECOS enrollment system.
When is Michiana Eye Center LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Michiana Eye Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Michiana Eye Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (12) and Ophthalmology (3). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Anthem Blue Cross and Blue Shield and 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.
# Michiana Eye Center Llc · NPI 1073671731
Ophthalmology organization in South Bend, Indiana. Organization record, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1073671731 (Entity type: Organization)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Baxter, OWNER/OPHTHALMOLOGIST
## Practice location
- **Address:** 319 N NILES AVE # 100, South Bend, IN 46617
- **Phone:** (574) 282-2020 · **Fax:** (574) 288-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 15 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (12), Ophthalmology (3); 13 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2018
- **Other identifiers:** Medicaid 100092980 (IN); Other 204460 (IN); Other DA1131 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1073671731) · Data from the CMS NPPES public registry.