Active NPI
Midwest Eye Consultants, P.C.
- Ophthalmology Physician
- Indianapolis, IN
National Provider Identifier
1639587389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 56000164A
- Legal business name
- MIDWEST EYE CONSULTANTS, P.C.
- Practice address
- 5319 S Emerson Ave
Indianapolis, IN 46237-1969 - Phone
- (317) 755-2254
- Fax
- (317) 755-2294
- NPI assigned
- Jul 25, 2014
- 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
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 56000164A | IN | Primary |
Addresses
Primary practice location
5319 S Emerson Ave
Indianapolis, IN 46237-1969
Mailing address
PO Box 549
Wabash, IN 46992-0549
Phone (260) 569-9550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100082470Z | Medicaid | IN |
Other names 1
- Neuro-Ophthalmology Institute
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 |
National Provider Directory
National Provider Directory- Part of
- Garner Trump Eye Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408924800000",
"number": "1639587389",
"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": "5319 S EMERSON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462371969",
"telephone_number": "317-755-2254",
"fax_number": "317-755-2294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST EYE CONSULTANTS, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST EYE CONSULTANTS, P.C.",
"enumeration_date": "2014-07-25",
"last_updated": "2014-08-25",
"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": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IN",
"license": "56000164A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100082470Z",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Neuro-Ophthalmology Institute",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.