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PANKRATZ EYE INSTITUTE LLC NPI 1871530642


NPI Information

NPI: 1871530642
Provider Name: PANKRATZ EYE INSTITUTE, LLC

Former Legal Business Name: COLUMBUS EYE SURGERY CENTER, LLC, DBA PANKRATZ EYE INSTITUTE

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 15D0979546

Address:
3135 MIDDLE ROAD
COLUMBUS, IN
ZIP 47203
Phone: (812) 373-7777
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PANKRATZ EYE INSTITUTE, LLC is an ophthalmology in Columbus, IN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PANKRATZ EYE INSTITUTE, LLC NPI is 1871530642. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Columbus Eye Surgery Center, Llc, Dba Pankratz Eye Institute.

The provider's business location address is:

3135 MIDDLE ROAD
COLUMBUS, IN
ZIP 47203-472
Phone: (812) 373-7777
Fax: (812) 373-0772

The provider's authorized official is Michael Joseph Pankratz .
The authorized official title is Managing Member and has the following contact phone number (812) 373-7777.

The CLIA number assigned to this NPI record is 15D0979546 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 7/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200802950MEDICAIDINDIANA
2231780MEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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