Organization
MIDWEST EYE CONSULTANTS, P.C.
Active
Other names
Cataract and Laser Institute Fort Wayne #26
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GARRETT (COO)
(260) 569-9550
Entity
Organization
Contact information
Practice address
7755 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4135
(260) 459-8400
Mailing address
PO BOX 549, WABASH, IN 46992-0549
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200190920B
—
IN
Enumeration date
03/02/2022
Last updated
03/02/2022
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