Active NPI
Midwest Eye Consultants, P.C.
- Optometrist
- Rochester, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 56000164A
- Legal business name
- MIDWEST EYE CONSULTANTS, P.C.
- Doing business as
- Midwest Eye Consultants #29
- Practice address
- 2260 Main St
Rochester, IN 46975-2107 - Phone
- (574) 223-3916
- Fax
- (574) 223-2965
- NPI assigned
- Apr 7, 2006
- 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 Garner
- Title
- Pres./Ceo
- Phone
- (260) 569-9550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 56000164A | IN | Primary |
Addresses
Primary practice location
2260 Main St
Rochester, IN 46975-2107
Mailing address
PO Box 549
Wabash, IN 46992-0549
Phone (260) 569-9550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200409010A | Medicaid | IN |
Other names 1
- Midwest Eye Consultants #29
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040302000158 | IN | Part B Supplier - Clinic/Group Practice | 2961399217 |
Receives reassigned benefits from 100 practitioners This NPI is an additional NPI on the enrollment |
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 |
|---|---|---|---|
| 15D2147584 | Midwest Eye Consultants #29 | Certificate of waiver | Apr 22, 2028 |
National Provider Directory
National Provider Directory- Part of
- Garner Trump Eye Care
Locations
712 Cameron Woods Dr
Angola, IN 46703
Phone (260) 665-3240
374 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 395-1575
5319 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 755-2254
611 E Douglas Rd
Ste 102
Mishawaka, IN 46545
Phone (574) 271-1114
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Logansport, IN
- NPI 1992225502
-
- Optometrist
- Bedford, IN
- NPI 1770091159
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": "1353369600000",
"number": "1437112059",
"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": "2260 MAIN ST",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "469752107",
"telephone_number": "574-223-3916",
"fax_number": "574-223-2965"
}
],
"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": "2012-11-20",
"status": "A",
"authorized_official_last_name": "GARNER",
"authorized_official_first_name": "GREGORY",
"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": "56000164A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200409010A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest Eye Consultants #29",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.