Provider Demographics
NPI:1730141037
Name:MUNSTER EYE CARE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:MUNSTER EYE CARE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BINH
Authorized Official - Middle Name:QUY
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-922-6226
Mailing Address - Street 1:759 45TH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2938
Mailing Address - Country:US
Mailing Address - Phone:219-922-6226
Mailing Address - Fax:219-922-8784
Practice Address - Street 1:759 45TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2938
Practice Address - Country:US
Practice Address - Phone:219-922-6226
Practice Address - Fax:219-922-8784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INE866553OtherSTERLING OPTION I
IN56789OtherCSHCS
IN200326120AMedicaid
IN5391280OtherAETNA
IN90000732OtherBCBS OF IL
INE866553OtherSTERLING OPTION I
IN5391280OtherAETNA