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Contact Information

MIDWEST EYE CONSULTANTS, P.C.
1240 MEDICAL PARK DR
FORT WAYNE, IN46825
 Phone: 260-471-2375
 Fax: 260-484-3367
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MIDWEST EYE CONSULTANTS, P.C.

NPI # 1922061530
LBN Legal business name MIDWEST EYE CONSULTANTS, P.C.
Authorized official GREGORY GARNER - (PRES./CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/07/2006
Last updated 06/20/2018 - About 8 years ago
Identifiers
IN License # 56000164A
IN Medicaid 200230080A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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