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Contact Information

INDIANA EYE CENTER LLC
2020 SHERMAN DR
PRINCETON, IN47670-1045
 Phone: 812-385-2225
 Fax: 812-385-2314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for INDIANA EYE CENTER LLC

NPI Number 1710265269
LBN Legal business name INDIANA EYE CENTER LLC
Authorized official WAGIH SATAR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2011
Last updated 03/19/2024 - About 2 years ago
Identifiers
IN License # 01034314A
IN License # 18003638A
IN Medicaid 201040280A
IN Other 000000737384 ANTHEM BLUECROSSBLUE SHIELD
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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