Grossnickle Eye Center, Inc.

LBN: Grossnickle Eye Center, Inc.
Grossnickle Eye Center, Inc. is an health care organization with primary practice located at 2251 Dubois Dr , Warsaw IN 46580-3212. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Grossnickle Eye Center, Inc. can be contacted via phone (574) 269-2777, or through Ralstin, Matthew C 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:
Map and Directions
Authorized official contact:
Name: Ralstin, Matthew C Doctor of Medicine (MD)
Phone: (574) 269-2777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 50001530A Indiana

Profile Details

NPI number 1265436125
LBN Legal business name Grossnickle Eye Center, Inc.
DBA Doing business as
Authorized official Ralstin, Matthew C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Mar 5th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265436125 NPPES
Indiana MEDICAID 200018500

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