Organization
MIDWEST EYE CONSULTANTS P.C.
Active
Parent organization
MIDWEST EYE CONSULTANTS P.C.
Other names
Midwest Eye Consultants #52
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST EYE CONSULTANTS P.C.
Authorized official
GREGORY L GARNER OD (PRESIDENT)
(260) 569-9550
Entity
Organization
Contact information
Practice address
710 S 13TH ST, DECATUR, IN 46733-1802
(260) 724-4318
(260) 724-9776
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300009717
—
IN
Enumeration date
09/22/2017
Last updated
01/16/2018
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