Organization
MIDWEST EYE CONSULTANTS, P.C.
Active
Parent organization
MIDWEST EYE CONSULTANTS, P.C.
Other names
Midwest Eye Consultants #03
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST EYE CONSULTANTS, P.C.
Authorized official
GREGORY L GARNER (PRES./CEO)
(260) 569-9550
Entity
Organization
Contact information
Practice address
2500 E MARKET ST, LOGANSPORT, IN 46947-2011
(574) 753-3583
(765) 722-2364
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
—
100071140A
—
IN
Enumeration date
04/07/2006
Last updated
11/20/2012
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