MICHIANA EYE CENTER , LLC
NPI 1083907992
Ophthalmology in Elkhart, 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 1083907992) is a healthcare organization registered as an ophthalmology in Elkhart, Indiana and active in the NPI registry since May 2011. The organization lists Kevin R Baxter, Owner/ophthalmologists, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 2
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. 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.
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 1083907992. It was assigned to this organization in the NPPES registry on May 25, 2011.
Where is Michiana Eye Center , LLC located?
Michiana Eye Center , LLC is located at 2216 Cassopolis St, Elkhart, IN 46514. The listed phone number is (574) 266-2111.
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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1083907992
Ophthalmology organization in Elkhart, Indiana. Organization record, active in the CMS NPPES registry since May 25, 2011.
## Identity
- **NPI:** 1083907992 (Entity type: Organization)
- **Enumerated:** May 25, 2011
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Baxter, OWNER/OPHTHALMOLOGISTS
## Practice location
- **Address:** 2216 CASSOPOLIS ST, Elkhart, IN 46514
- **Phone:** (574) 266-2111 · **Fax:** (574) 266-0555
## 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) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2018
- **Other identifiers:** Other DA1128 (IN); Medicaid 100092980 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1083907992) · Data from the CMS NPPES public registry.