Austin Ray Lifferth
GROSSNICKLE EYE CENTER, INC.


Address: 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446
Phone: 5742710120

Austin Ray Lifferth (NPI# 1134106636, PAC ID# 7911982921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1134106636
PAC ID by PECOS 7911982921
Professional Enrollment ID I20180326000947
Full Name Austin Ray Lifferth
Organization Legal Name GROSSNICKLE EYE CENTER, INC.
Address 4330 Edison Lakes Pkwy
Suite A
Mishawaka
IN 46545-1446
Phone Number 5742710120
Gender M
Credential OD
Medical School INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduation Year 2003
Primary Specialty OPTOMETRY
Group Practice PAC ID 7810897758
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446 5742710120 GROSSNICKLE EYE CENTER, INC.
2251 Dubois Dr, Warsaw, IN 46580-3212 5742692777 GROSSNICKLE EYE CENTER, INC.

Organization Information

Organization Legal Name GROSSNICKLE EYE CENTER, INC.
Physicians 10

Physicians with the same organization

Name Specialty Organization Address
Matthew C Ralstin Ophthalmology Grossnickle Eye Center, Inc. 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446
Jon E Mark Optometry Grossnickle Eye Center, Inc. 2251 Dubois Dr, Warsaw, IN 46580-3212
Bruce P Grossnickle Ophthalmology Grossnickle Eye Center, Inc. 4330 Edison Lakes Pkwy A, Mishawaka, IN 46545-1446
Ann Unijin Madden Optometry Grossnickle Eye Center, Inc. 1510 Osolo Rd, Elkhart, IN 46514-4122
Allison A Pernic Ophthalmology Grossnickle Eye Center, Inc. 1510 Osolo Rd, Elkhart, IN 46514-4122
David F Ryser Ophthalmology Grossnickle Eye Center, Inc. 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446
Ann K Buikema-wiarda Ophthalmology Grossnickle Eye Center, Inc. 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446
Kristina Offerle Optometry Grossnickle Eye Center, Inc. 1510 Osolo Rd, Elkhart, IN 46514-4122
Christopher D Knight Ophthalmology Grossnickle Eye Center, Inc. 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446

Office Location

Street Address 4330 EDISON LAKES PKWY
SUITE A
City MISHAWAKA
State IN
Zip 46545-1446

Physicians in the same location

Name Specialty Organization Address
Matthew C Ralstin Ophthalmology Grossnickle Eye Center, Inc. 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446
David F Ryser Ophthalmology Grossnickle Eye Center, Inc. 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446
Ann K Buikema-wiarda Ophthalmology Grossnickle Eye Center, Inc. 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446
Christopher D Knight Ophthalmology Grossnickle Eye Center, Inc. 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446

Physicians in the same zip code

Name Specialty Organization Address
Marielvea A Banks Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Sean R Horner Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Rami Musleh Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Meghan M Barrus Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Ann M Grubb Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Duane M Wampler Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Eugene Huang Emergency Medicine Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Steven D Whaley Anesthesiology Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Angela Blagojevski Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Danny E Winn Physician Assistant Pic Indiana PC 505 W Cleveland Rd, Mishawaka, IN 46545-1003
Find all physicians in zip 46545

Competitor

Search similar physicians

City MISHAWAKA
Zip Code 46545
Specialty OPTOMETRY
City + Specialty MISHAWAKA + OPTOMETRY

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Dataset Information

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.

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