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Organization

MIDWEST EYE CONSULTANTS P.C.

Active
Parent organization
MIDWEST EYE CONSULTANTS, P.C.
Other names
Midwest Eye Consultants #38
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
17615 STATE ROAD 23, SOUTH BEND, IN 46635-1718
(574) 234-7600
(574) 234-8408
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
5600164A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100082470S
IN
01
CD2507
RAILROAD MEDICARE
IN
Enumeration date
07/30/2009
Last updated
10/15/2015
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