Organization
MIDWEST EYE CONSULTANTS, P.C.
Active
Parent organization
MIDWEST EYE CONSULTANTS, P.C.
Other names
Midwest Eye Consultants #39
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
328 S MAIN ST, MISHAWAKA, IN 46544-2115
(574) 256-5606
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082470T
—
IN
Enumeration date
02/18/2010
Last updated
12/11/2012
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