OrganizationActive
Michiana Eye Center , LLC
NPI 1083907992 · Ophthalmology Physician · Elkhart, IN
Provider details
- NPI number
- 1083907992
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Baxter, Owner/Ophthalmologists(574) 271-3939
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
- Specialist174400000X
Other Service Providers
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2216 Cassopolis St
Elkhart, IN 46514
Phone: (574) 266-2111
Fax: (574) 266-0555
Street-level locationGet directions
Mailing address
230 E Day Rd Ste 100
Mishawaka, IN 46545-3408
Registry dates
- Enumerated
- 2011-05-25
- Last updated
- 2018-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.