Organization
MIDWEST EYE CONSULTANTS, P.C.
Active
Parent organization
MIDWEST EYE CONSULTANTS, P.C.
Other names
Midwest Eye Consultants Paulding
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST EYE CONSULTANTS, P.C.
Authorized official
GREGORY L GARNER OD (PRES/CEO)
(260) 569-9550
Entity
Organization
Contact information
Practice address
1601 E PAULDING RD, FORT WAYNE, IN 46816-1204
(260) 744-7241
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-0760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5600164A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071140C
—
IN
01
—
CD2507
RAILROAD MEDICARE
IN
Enumeration date
01/14/2015
Last updated
07/21/2022
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