| Michiana Eye Center Llc | |
|
230 E Day Rd, 100, Mishawaka, IN 46545 | |
| (574) 271-3939 | |
| (574) 271-3941 |
| Full Name | Michiana Eye Center Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 230 E Day Rd, Mishawaka, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396722070 | NPI | - | NPPES |
| DA1128 | Other | IN | RAILROAD MEDICARE |
| 100092980 | Medicaid | IN |
| Provider Name | Andrew R Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104854942 PECOS PAC ID: 0648279745 Enrollment ID: I20061219000559 |
| Provider Name | Timothy H Blankenbeker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316146798 PECOS PAC ID: 9335231661 Enrollment ID: I20070816000474 |
| Provider Name | Shannan E Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104023290 PECOS PAC ID: 2062504020 Enrollment ID: I20070822000607 |
| Provider Name | Pamela M Wise |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700863321 PECOS PAC ID: 3971648064 Enrollment ID: I20100301000242 |
| Provider Name | Kevin A Danahey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497732010 PECOS PAC ID: 4880666346 Enrollment ID: I20100303000211 |
| Provider Name | David P Sonnenburg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760797120 PECOS PAC ID: 9537358312 Enrollment ID: I20121025000009 |
| Provider Name | Lauren Sanchez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891100020 PECOS PAC ID: 0345465423 Enrollment ID: I20140703000487 |
| Provider Name | Kevin R Baxter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609161686 PECOS PAC ID: 8123339942 Enrollment ID: I20150622000372 |
| Provider Name | Stephanie Baxter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003076530 PECOS PAC ID: 2860551272 Enrollment ID: I20150626000825 |
| Provider Name | Laura A Cavadini |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366854051 PECOS PAC ID: 4981917267 Enrollment ID: I20180702003320 |
| Provider Name | Molly M Walsh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891875985 PECOS PAC ID: 4082689369 Enrollment ID: I20210203001926 |
| Provider Name | Hasan A Salam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225606163 PECOS PAC ID: 2668872128 Enrollment ID: I20210621002286 |
| Provider Name | Frank C Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528800075 PECOS PAC ID: 8729523782 Enrollment ID: I20240715000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Michiana Eye Center Llc 230 E Day Rd, 100, Mishawaka, IN 46545-3408 Ph: (574) 271-3939 | Michiana Eye Center Llc 230 E Day Rd, 100, Mishawaka, IN 46545 Ph: (574) 271-3939 |