Healthcare Provider Details

I. General information

NPI: 1730141037
Provider Name (Legal Business Name): MUNSTER EYE CARE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

759 45TH AVE SUITE 101
MUNSTER IN
46321-2938
US

IV. Provider business mailing address

759 45TH AVE SUITE 101
MUNSTER IN
46321-2938
US

V. Phone/Fax

Practice location:
  • Phone: 219-922-6226
  • Fax: 219-922-8784
Mailing address:
  • Phone: 219-922-6226
  • Fax: 219-922-8784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BINH QUY NGUYEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 219-922-6226