Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Ray Baxter, DO

Individual provider Ophthalmology Physician · NPI 1609161686

Kevin Ray Baxter, DO is an Ophthalmology in Mishawaka, Indiana. Graduated from Ohio State University - College of Optometry in 2011, 15 years ago. Practices with Michiana Eye Center LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
15
Trained at
Ohio State University - College of Optometry
Licensed in
IN, MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

230 E Day Rd Ste 100
Mishawaka, IN 46545-3408
Phone: (574) 271-3939
Fax: (574) 271-3941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 02004614A (IN)
Ophthalmology Physician Taxonomy 207W00000X · Licence 510109282 (MI)

Record details

NPI number1609161686
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 17, 2011
Last updated in NPPESJuly 2, 2015
Mailing address230 E Day Rd, Ste 100, Mishawaka, IN 46545-3408

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2011 (15 years in practice)
Group practice Michiana Eye Center Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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