Grossnickle Eye Surgery Center
LBN: Grossnickle Eye Center, Inc.
Grossnickle Eye Surgery Center is an health care organization with primary practice located at 2251 Dubois Dr , Warsaw IN 46580-3212. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Ophthalmologic Surgery. Ambulatory Health Care Facilities / Ophthalmologic Surgery is the primary health care specialty.
Grossnickle Eye Center, Inc. can be contacted via phone (574) 269-2777, or through Grossnickle, Bruce P. via phone (574) 269-2777.
Contact Information
Primary practice address
2251 Dubois Dr
Warsaw IN 46580-3212
Phone: (574) 269-2777
Fax: (574) 371-4697
Website:
Authorized official contact:
Name: Grossnickle, Bruce P. Doctor of Medicine (MD)
Phone: (574) 269-2777
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 50001530A | Indiana |
| Ambulatory Health Care Facilities / Ophthalmologic Surgery | 261QS0132X | 50001530A | Indiana |
Profile Details
| NPI number | 1134259179 |
|---|---|
| LBN Legal business name | Grossnickle Eye Center, Inc. |
| DBA Doing business as | Grossnickle Eye Surgery Center |
| Authorized official | Grossnickle, Bruce P. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Oct 20th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134259179 | NPPES |
| Indiana | MEDICAID | 100274260A |
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