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 #50

Practice address

150 Forest Park Dr
Berne, IN 46711-1745

Phone

(260) 569-9550

Fax

(260) 569-0760

NPI assigned

May 12, 2017

Last updated

Jan 17, 2018By 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 Garner, ODNPI 1639139801

Title

President

Phone

(260) 569-9550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Eye Consultants #50 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

Wabash Eye Associates

Locations

Practitioners 2

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
• Randy Fortkamp, OD

  • Optometrist
  • Marion, IN
  • NPI 1770159337
  NPD

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1578090239",
    "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": "150 FOREST PARK DR",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467111745",
            "telephone_number": "260-569-9550",
            "fax_number": "260-569-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE CONSULTANTS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST EYE CONSULTANTS, P.C.",
        "enumeration_date": "2017-05-12",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-569-9550",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "56000164A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007413",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Eye Consultants #50",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent A Lehman, M.D.
• Rebecca Kay Lehman, MS, OTR
• Scott E Lehman, O.D.
• Stephanie Lothamer, CNM
• Pamela Kay Meyer, RPH
• Kathy O'Sullivan, PSY.S.
• Reynolds Chiropractic LLC
• Jade Matthew Reynolds, D.C.
• Tara L Riehm
• Robert Judge

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.