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Contact Information

ADVANCED OPHTHALMOLOGY OF MICHIANA LLC
707 N MICHIGAN ST
STE 210
SOUTH BEND, IN46601-1067
 Phone: 574-233-3474
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ADVANCED OPHTHALMOLOGY OF MICHIANA LLC

NPI # 1962547984
LBN Legal business name ADVANCED OPHTHALMOLOGY OF MICHIANA LLC
Authorized official ERIC YOON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2007
Last updated 10/14/2021 - About 5 years ago
Identifiers n/a
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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