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 #03

Practice address

2500 E Market St
Logansport, IN 46947-2011

Phone

(574) 753-3583

Fax

(765) 722-2364

NPI assigned

Apr 7, 2006

Last updated

Nov 20, 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 #03 Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Midwest Eye Consultants 42

Locations

Practitioners 5

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
• Andrew Dupre

  • Optometrist
  • Peru, IN
  • NPI 1053792903
  NPD
• Melynda Rodriguez Hernandez, OD

  • Optometrist
  • Bedford, IN
  • NPI 1770091159
  NPD
• Brittany Nichole Wolfe, OD

  • Optometrist
  • Logansport, IN
  • NPI 1861013567
  NPD
• Matthew Rees Frieden, OD

  • Optometrist
  • Logansport, IN
  • NPI 1992225502
  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": "1353369600000",
    "number": "1457314809",
    "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": "2500 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472011",
            "telephone_number": "574-753-3583",
            "fax_number": "765-722-2364"
        }
    ],
    "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"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "56000164A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071140A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Eye Consultants #03",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaden Mendenhall
• Catherine Danielle Mendez
• Brenton Mersch
• Joseph John Meyer, RPH
• Mid State Logansport Ed Physicians
• Dawn Michelle Miller, NP
• Gary L Miller, MD
• Kathleen M Miller, MD
• Matthew Miller, CRNA
• Michelle Miller

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

• 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.

Verify at the official NPI Registry.