Midwest Eye Consultants #17

LBN: Midwest Eye Consultants, P.C.
Midwest Eye Consultants #17 is an health care organization with primary practice located at 1240 Medical Park Dr , Fort Wayne IN 46825. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Midwest Eye Consultants, P.C. can be contacted via phone (260) 471-2375, or through Garner, Gregory L via phone (260) 569-9550.

Contact Information

Primary practice address
1240 Medical Park Dr Fort Wayne IN 46825
Phone: (260) 471-2375
Fax: (260) 484-3367
Website:
Map and Directions
Authorized official contact:
Name: Garner, Gregory L Doctor of Optometry (OD)
Phone: (260) 569-9550

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 56000164A Indiana

Profile Details

NPI number 1922061530
LBN Legal business name Midwest Eye Consultants, P.C.
DBA Doing business as Midwest Eye Consultants #17
Authorized official Garner, Gregory L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 7th, 2006
Last updated Jun 20th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922061530 NPPES
Indiana MEDICAID 200230080A

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