Organization
MIDWEST EYE CONSULTANTS, P.C.
Active
Parent organization
MIDWEST EYE CONSULTANTS, P.C.
Other names
Neuro-Ophthalmology Institute
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
5319 S EMERSON AVE, INDIANAPOLIS, IN 46237-1969
(317) 755-2254
(317) 755-2294
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-0760
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
56000164A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082470Z
—
IN
Enumeration date
07/25/2014
Last updated
08/25/2014
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