Michiana Eye Center Llc
Ophthalmology
319 N Niles Ave # 100, South Bend
Indiana, 46617
574-282-2020 574-288-2020
Michiana Eye Center Llc is a Ophthalmology in South Bend, Indiana. It is located at 319 N Niles Ave # 100, South Bend and it's customer support contact number is 574-282-2020. The authorized person of Michiana Eye Center Llc is Kevin R Baxter, DO who is Owner/ophthalmologist of this DME and his contact number is 574-271-3939. Michiana Eye Center Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Michiana Eye Center Llc is 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.
DME Supplier Details:
Michiana Eye Center Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Michiana Eye Center Llc |
| Type: | Ophthalmology |
| Location: | 319 N Niles Ave # 100, South Bend,
Indiana, 46617 |
| Phone: | 574-282-2020 |
| Fax: | 574-288-2020 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Kevin R Baxter |
| Credentials: | DO |
| Position: | Owner/ophthalmologist |
| Contact Number: | 574-271-3939 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1073671731 |
| NPI Enumeration Date: | 05 Dec, 2006 |
| NPI Last Update On: | 18 Jun, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michiana Eye Center Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Ophthalmology | | | Primary | |
| Plastic Surgery Within the Head and Neck | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Optometrist | | | Secondary | |
| Specialist | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 204460 | Other | Indiana | Medicare Ptan |
| 100092980 | Medicaid | Indiana | |
| DA1131 | Other | Indiana | Railroad Medicare |
Medicare Enrollment:
Michiana Eye Center Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3173595634 | O20100930009052 | Michiana Eye Center Llc | DME SUPPLIER - PHYSICIAN - OPHTHALMOLOGY |
Products Available:
Michiana Eye Center Llc has following products available for sale under medicare.
| Products: |
|---|
| • Prosthetic Lenses: Conventional Contact Lenses | • Prosthetic Lenses: Conventional Eyeglasses |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 230 E Day Rd Ste 100,
Mishawaka, Indiana |
| Zip: | 46545-3408 |
| Phone Number: | 574-271-3939 |
| Fax Number: | 574-271-3941 |
Patients can reach Michiana Eye Center Llc at
319 N Niles Ave # 100, South Bend, Indiana or can
call on customer care at 574-282-2020.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.