Active NPI
Midwest Eye Consultants, P.C.
- Optometrist
- Auburn, IN
National Provider Identifier
1396914271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5600164A
- Legal business name
- MIDWEST EYE CONSULTANTS, P.C.
- Practice address
- 750 N. Grandstaff Dr.
Auburn, IN 46706 - Phone
- (260) 925-3116
- Fax
- (260) 925-3269
- NPI assigned
- Feb 26, 2008
- Organization subpart
- Yes
- Parent organization
- MIDWEST EYE CONSULTANTS, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory L Garner
- Title
- Pres./Ceo
- Phone
- (260) 569-9550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5600164A | IN | Primary |
Addresses
Primary practice location
750 N. Grandstaff Dr.
Auburn, IN 46706
Mailing address
PO Box 549
Wabash, IN 46992-0549
Phone (260) 569-9550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100082470R | Medicaid | IN |
Other names 1
- Midwest Eye Consultants #37
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2147613 | Midwest Eye Consultants #37 | Certificate of waiver | Apr 22, 2028 |
National Provider Directory
National Provider Directory- Part of
- Garner Trump Eye Care
Locations
9426 Lima Rd
Ste C
Fort Wayne, IN 46818
Phone (219) 489-5544
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Auburn, IN
- NPI 1467138875
-
- Optometrist
- Peru, IN
- NPI 1447697933
-
- Optometrist
- Fort Wayne, IN
- NPI 1417525254
-
- Optometrist
- Angola, IN
- NPI 1386489870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487548800000",
"number": "1396914271",
"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": "750 N. GRANDSTAFF DR.",
"city": "AUBURN",
"state": "IN",
"postal_code": "46706",
"telephone_number": "260-925-3116",
"fax_number": "260-925-3269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST EYE CONSULTANTS, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST EYE CONSULTANTS, P.C.",
"enumeration_date": "2008-02-26",
"last_updated": "2017-02-20",
"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": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "5600164A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100082470R",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest Eye Consultants #37",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.