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Organization

MIDWEST EYE CONSULTANTS, P.C.

Active
Parent organization
MIDWEST EYE CONSULTANTS, P.C.
Other names
Midwest Eye Consultants #43
Organization subpart
Yes

Provider details

NPI number
Legal business name
MIDWEST EYE CONSULTANTS, P.C.
Authorized official
DR. GREGORY L GARNER O.D. (PRES./CEO)
(260) 569-9550
Entity
Organization

Contact information

Practice address
350 S VAN BUREN ST, SUITE 2B, SHIPSHEWANA, IN 46565-9197
(260) 768-7721
(260) 768-7747
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
100082470W
IN
Enumeration date
01/26/2011
Last updated
06/20/2013
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