Healthcare Provider Details
I. General information
NPI: 1720060031
Provider Name (Legal Business Name): THE EYE CENTER GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1258 OAK ST STE. B
FRANKFORT IN
46041-3377
US
IV. Provider business mailing address
PO BOX 472
MUNCIE IN
47308-0472
US
V. Phone/Fax
- Phone: 765-654-0404
- Fax: 765-654-7155
- Phone: 765-286-8888
- Fax: 765-747-7962
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JEFFREY
S
RAPKIN
Title or Position: PART OWNER
Credential: MD
Phone: 765-286-8888