Andrew R Anderson (NPI# 1104854942, PAC ID# 0648279745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1104854942 |
| PAC ID by PECOS | 0648279745 |
| Professional Enrollment ID | I20061219000559 |
| Full Name | Andrew R Anderson |
| Organization Legal Name | MICHIANA EYE CENTER LLC |
| Address |
2216 Cassopolis St Elkhart IN 46514-5133 |
| Phone Number | 5742662111 |
| Gender | M |
| Credential | OD |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2006 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3173595634 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2216 Cassopolis St, Elkhart, IN 46514-5133 | 5742662111 | MICHIANA EYE CENTER LLC |
| 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 | 5742713939 | MICHIANA EYE CENTER LLC |
| Organization Legal Name | MICHIANA EYE CENTER LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura A Cavadini | Ophthalmology | Michiana Eye Center LLC | 1747 Stafford Ct, Goshen, IN 46526-6542 |
| Stephanie Baxter | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Shannan E Brown | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Richard David Weiss | Ophthalmology | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Timothy H Blankenbeker | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Kevin A Danahey | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Kevin R Baxter | Ophthalmology | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Pamela M Wise | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| David P Sonnenburg | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Lauren Sanchez | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Street Address |
2216 CASSOPOLIS ST |
| City | ELKHART |
| State | IN |
| Zip | 46514-5133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Hix | Sports Medicine | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joann E Marinkovich-davidson | Nurse Practitioner | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Mark Klaassen | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Julia K Pagano | Podiatry | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Carolyn M Barbus | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Craig Erekson | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Jon B Smucker | Sports Medicine | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joseph M. Caldwell Ii | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Scott C Mclaughlin | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| John M Kelbel | Orthopedic Surgery | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Find all physicians in zip 46514 | |||
| City | ELKHART |
| Zip Code | 46514 |
| Specialty | OPTOMETRY |
| City + Specialty | ELKHART + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.