Midwest Eye Consultants P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5600164A Issued in IN

Legal business name

MIDWEST EYE CONSULTANTS P.C.

Practice address

17615 State Road 23
South Bend, IN 46635-1718

Phone

(574) 234-7600

Fax

(574) 234-8408

NPI assigned

Jul 30, 2009

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 Garner

Title

Pres./Ceo

Phone

(260) 569-9550

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Midwest Eye Consultants #38 Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Part of

Garner Trump Eye Care

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott A Unger, OD

  • Optometrist
  • Kokomo, IN
  • NPI 1528048618
  NPD
• Cailey Anne Willhardt, OD

  • Optometrist
  • Granger, IN
  • NPI 1154041747
  NPD
• Morgan Dewit, OD

  • Optometrist
  • Grand Rapids, MI
  • NPI 1467802397
  NPD

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1558592170",
    "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": "17615 STATE ROAD 23",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351718",
            "telephone_number": "574-234-7600",
            "fax_number": "574-234-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE CONSULTANTS P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST EYE CONSULTANTS, P.C.",
        "enumeration_date": "2009-07-30",
        "last_updated": "2015-10-15",
        "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": "100082470S",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD2507",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Eye Consultants #38",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michiana Speech Lab LLC
• Anne Marie Micinski, ATC, LAT
• Joshua Mickels
• Rachel Mickelson
• Kahmiil Kohrie Middleton, LMSW
• Midwest Eye Consultants, PC
• Midwest Institute of Training and Development
• Midwives Care
• Michelle Ann Migliore, DO
• John Mihay, PT,DPT

• Optometrist in South Bend, IN
• Providers in South Bend, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.