Midwest Eye Consultants, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

56000164A Issued in IN

Legal business name

MIDWEST EYE CONSULTANTS, P.C.

Doing business as

Midwest Eye Consultants #05

Practice address

300 W Walnut St
Kokomo, IN 46901-4415

Phone

(765) 459-5137

Fax

(765) 459-5138

NPI assigned

Apr 7, 2006

Last updated

Dec 11, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MIDWEST EYE CONSULTANTS, P.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory L GarnerNPI 1639139801

Title

Pres./Ceo

Phone

(260) 569-9550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Eye Consultants #05 Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Part of

Midwest Eye Consultants 42

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory L Garner, O.D.

  • Optometrist
  • Wabash, IN
  • NPI 1639139801
  Authorized official Same address or phone
• Eustacia M Imler, OD

  • Optometrist
  • Noblesville, IN
  • NPI 1528123452
  NPD (past)
• Christopher A. James, O.D.

  • Optometrist
  • Kokomo, IN
  • NPI 1811957665
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1043273659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469920549",
            "telephone_number": "260-569-9550",
            "fax_number": "260-569-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WALNUT ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014415",
            "telephone_number": "765-459-5137",
            "fax_number": "765-459-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE CONSULTANTS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST EYE CONSULTANTS, P.C.",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES./CEO",
        "authorized_official_telephone_number": "260-569-9550"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "56000164A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200102070A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Eye Consultants #05",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Midwest Family Dental Care-Kokomo PC (Northview Dental of Kokomo)
• Midwest Therapy Systems, LLC

• Optometrist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.