Organization
MIDWEST EYE CONSULTANTS, P.C.
Active
Parent organization
MIDWEST EYE CONSULTANTS, P.C.
Other names
CLI Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST EYE CONSULTANTS, P.C.
Authorized official
GREGORY L GARNER O.D. (PRES./CEO)
(260) 569-9550
Entity
Organization
Contact information
Practice address
7747 W JEFFERSON BLVD, SUITE B, FORT WAYNE, IN 46804-4135
(260) 434-9104
(260) 434-9105
Mailing address
7747 W JEFFERSON BLVD, SUITE B, FORT WAYNE, IN 46804-4135
(260) 434-9104
(260) 434-9105
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200421610A
—
IN
Enumeration date
04/10/2006
Last updated
07/09/2010
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