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EYE DOCTORS OF MICHIANA
NPI 1174829493
Ophthalmology in Granger, IN

Active since February 03, 2011
10360 S CEDAR LAKE DR, GRANGER, IN 46530(574) 674-6803 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Eye Doctors Of Michiana NPPES

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

EYE DOCTORS OF MICHIANA (NPI 1174829493) is a healthcare organization registered as an ophthalmology in Granger, Indiana and active in the NPI registry since February 2011. The organization lists John S Kim, President, as its authorized official.

NPPES Registry Identity

NPI1174829493
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE DOCTORS OF MICHIANA
Location Address10360 S CEDAR LAKE DRGranger, IN 46530-5835
Mailing Address10360 S Cedar Lake DrGranger, IN 46530-5835
Phone(574) 674-6803
Organization SubpartNo
Authorized OfficialJohn S KimPresident · (574) 674-6803
Enumeration DateFebruary 3, 2011
✔ NPI 1174829493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IN · 01061571A
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.
10360 S CEDAR LAKE DR, Granger, IN 46530
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Other Identifiers 4

OtherP00442912Railroad Medicare
Medicare PIN248990D
Other000000521575IN · Blue Cross
Medicare UPINH20058

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Eye Doctors Of Michiana's NPI number?

The NPI number for Eye Doctors Of Michiana is 1174829493. It was assigned to this organization in the NPPES registry on February 3, 2011.

Where is Eye Doctors Of Michiana located?

Eye Doctors Of Michiana is located at 10360 S Cedar Lake Dr, Granger, IN 46530. The listed phone number is (574) 674-6803.

What is Eye Doctors Of Michiana's specialty?

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

When was this NPI record last updated?

The NPPES record for Eye Doctors Of Michiana was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.