Michiana Eye Center Llc - Medicare in Mishawaka, IN

  1. Home
Michiana Eye Center Llc is a medicare enrolled "Ophthalmology" provider in Mishawaka, Indiana. Their current practice location is 230 E Day Rd, 100, Mishawaka, Indiana. You can reach out to their office (for appointments etc.) via phone at (574) 271-3939.

Michiana Eye Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Michiana Eye Center Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1396722070.

Contact Information

Michiana Eye Center Llc
230 E Day Rd, 100,
Mishawaka, IN 46545
(574) 271-3939
(574) 271-3941

Map and Direction




Healthcare Provider's Profile

Full NameMichiana Eye Center Llc
TypeFacility
SpecialityOphthalmology
Location230 E Day Rd, Mishawaka, Indiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396722070
  • Provider Enumeration Date: 12/23/2005
  • Last Update Date: 06/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3173595634
  • Enrollment ID: O20051208000136

Medical Identifiers

Medical identifiers for Michiana Eye Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396722070NPI-NPPES
DA1128OtherINRAILROAD MEDICARE
100092980MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
174400000XSpecialist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary
2082S0099XPlastic Surgery - Plastic Surgery Within The Head And Neck (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Michiana Eye Center Llc acts as a billing entity for following providers:
Provider NameAndrew R Anderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104854942
PECOS PAC ID: 0648279745
Enrollment ID: I20061219000559
Provider NameTimothy H Blankenbeker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316146798
PECOS PAC ID: 9335231661
Enrollment ID: I20070816000474
Provider NameShannan E Brown
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104023290
PECOS PAC ID: 2062504020
Enrollment ID: I20070822000607
Provider NamePamela M Wise
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700863321
PECOS PAC ID: 3971648064
Enrollment ID: I20100301000242
Provider NameKevin A Danahey
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1497732010
PECOS PAC ID: 4880666346
Enrollment ID: I20100303000211
Provider NameDavid P Sonnenburg
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1760797120
PECOS PAC ID: 9537358312
Enrollment ID: I20121025000009
Provider NameLauren Sanchez
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891100020
PECOS PAC ID: 0345465423
Enrollment ID: I20140703000487
Provider NameKevin R Baxter
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1609161686
PECOS PAC ID: 8123339942
Enrollment ID: I20150622000372
Provider NameStephanie Baxter
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1003076530
PECOS PAC ID: 2860551272
Enrollment ID: I20150626000825
Provider NameLaura A Cavadini
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1366854051
PECOS PAC ID: 4981917267
Enrollment ID: I20180702003320
Provider NameMolly M Walsh
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891875985
PECOS PAC ID: 4082689369
Enrollment ID: I20210203001926
Provider NameHasan A Salam
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1225606163
PECOS PAC ID: 2668872128
Enrollment ID: I20210621002286

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michiana Eye Center Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.