Active NPI
Midwest Eye Consultants, P.C.
Doing business as Midwest Eye Consultants #28
- Optometrist
- Peru, 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 #28
- Practice address
- 935 W Main St
Peru, IN 46970-1740 - Phone
- (765) 472-4344
- Fax
- (765) 472-7095
- NPI assigned
- Apr 7, 2006
- Last updated
- Nov 20, 2012
- 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, O.D.
- Title
- Pres./Ceo
- Phone
- (260) 569-9550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 56000164A | IN | Primary |
Addresses
Primary practice location
935 W Main St
Peru, IN 46970-1740
Mailing address
PO Box 549
Wabash, IN 46992-0549
Phone (260) 569-9550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100082470J | Medicaid | IN |
Other names 1
- Midwest Eye Consultants #28
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 |
|---|---|---|---|
| 15D2147540 | Midwest Eye Consultants #28 | Certificate of waiver | Apr 19, 2028 |
National Provider Directory
National Provider Directory- Part of
- Midwest Eye Consultants 42
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Optometrist
- Wabash, IN
- NPI 1639139801
-
- Optometrist
- Fort Wayne, IN
- NPI 1528632866
-
- Optometrist
- Rochester, IN
- NPI 1366401812
-
- Optometrist
- Peru, IN
- NPI 1437111200
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": "1457314072",
"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": "935 W MAIN ST",
"city": "PERU",
"state": "IN",
"postal_code": "469701740",
"telephone_number": "765-472-4344",
"fax_number": "765-472-7095"
}
],
"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_middle_name": "L",
"authorized_official_title_or_position": "PRES./CEO",
"authorized_official_telephone_number": "260-569-9550",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "56000164A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100082470J",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest Eye Consultants #28",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peru, 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.