Organization
MIDWEST EYE CONSULTANTS, P.C.
Active
Parent organization
MIDWEST EYE CONSULTANTS, P.C.
Other names
Midwest Eye Consultants #34
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST EYE CONSULTANTS, P.C.
Authorized official
GREGRORY L GARNER (PRES./CEO)
(260) 569-9550
Entity
Organization
Contact information
Practice address
301 J ST, LA PORTE, IN 46350-4734
(219) 362-8923
(219) 324-8183
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-9244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56000164A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082470O
—
IN
Enumeration date
05/05/2006
Last updated
12/11/2012
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