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Contact Information

GLAUCOMA CENTER INC
3700 N EVERBROOK LN
MUNCIE, IN47304-5269
 Phone: 765-281-1181
 Fax: 765-282-4768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GLAUCOMA CENTER INC

NPI # 1497082598
LBN Legal business name GLAUCOMA CENTER INC
Authorized official AJIT TIWARI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2009
Last updated 09/08/2010 - About 16 years ago
Identifiers
IN License # 01039897A
IN Medicaid 100094420E
Other 000000219038 ANTHEM
Other 666840 MEDICARE PTN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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