Organization
MIDWEST EYE CONSULTANTS, P.C.
Active
Parent organization
MIDWEST EYE CONSULTANTS, P.C.
Other names
Midwest Eye Consultants DuPont
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST EYE CONSULTANTS, P.C.
Authorized official
GREGORY L GARNER OD (PRES/CEO)
(260) 569-9550
Entity
Organization
Contact information
Practice address
2874 E DUPONT RD, FORT WAYNE, IN 46825-1669
(260) 490-1631
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-0760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56000164A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201084240A
—
IN
Enumeration date
07/10/2015
Last updated
04/18/2016
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