Organization Active NPI

Midwest Eye Consultants, P.C.

Doing business as Cataract & Laser Institute

  • Ophthalmology Physician
  • Marion, IN
National Provider Identifier
1104889716
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
56000164A Issued in IN
Legal business name
MIDWEST EYE CONSULTANTS, P.C.
Doing business as
Cataract & Laser Institute
Practice address
1800 N Wabash Rd
Suite 100
Marion, IN 46952-1300
Phone
(800) 644-4855
Fax
(765) 664-5244
NPI assigned
Apr 7, 2006
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDWEST EYE CONSULTANTS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Cathy Garrett
Title
VP of Corporate Operations
Phone
(260) 569-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 56000164A IN Primary

Addresses

Primary practice location

1800 N Wabash Rd
Suite 100
Marion, IN 46952-1300

Mailing address

PO Box 549
Wabash, IN 46992-0549
Phone (260) 569-9550

Other names 1

  • Cataract & Laser Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000158 IN Part B Supplier - Clinic/Group Practice 2961399217 Receives reassigned benefits from 100 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Midwest Eye Consultants PC

Locations

7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104

4020 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 228-5490

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1104889716",
    "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": "260-569-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N WABASH RD",
            "address_2": "SUITE 100",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521300",
            "telephone_number": "800-644-4855",
            "fax_number": "765-664-5244"
        }
    ],
    "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": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "VP OF CORPORATE OPERATIONS",
        "authorized_official_telephone_number": "260-569-9550"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "56000164A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cataract & Laser Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.