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Contact Information

EYE CENTER GROUP LLC
3631 N MORRISON RD
MUNCIE, IN47304-5547
 Phone: 765-286-8888
 Fax: 765-747-7962
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EYE CENTER GROUP LLC

NPI Number 1043488778
LBN Legal business name EYE CENTER GROUP LLC
Authorized official DORIAN WINCONEK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2008
Last updated 06/27/2008 - About 18 years ago
Identifiers
IN Medicaid 100339260S
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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