# MIDWEST EYE CONSULTANTS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDWEST EYE CONSULTANTS, P.C.
- **Other names:** CLI Surgery Center - South Bend/Mishawaka
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467032862
- **Legal business name:** MIDWEST EYE CONSULTANTS, P.C.
- **Authorized official:** CATHY GARRETT (CAO)
- **Authorized official phone:** (260) 569-9550

## Contact information

- **Practice address:** 4020 EDISON LAKES PKWY, MISHAWAKA, IN 46545-3420
- **Practice address phone:** (260) 569-9550
- **Mailing address:** PO BOX 549, WABASH, IN 46992-0549
- **Mailing address phone:** (260) 782-4045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/09/2021
- **Last updated:** 04/09/2021