Organization Active NPI

Midwest Eye Consultants, P.C.

  • Ophthalmology Physician
  • Kokomo, IN
National Provider Identifier
1801002522
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MIDWEST EYE CONSULTANTS, P.C.
Practice address
1601 W Lincoln Rd
Kokomo, IN 46902-3275
Phone
(765) 453-5696
Fax
(765) 455-4323
NPI assigned
May 16, 2007
Organization subpart
Yes
Parent organization
MIDWEST EYE CONSULTANTS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregrory L Garner
Title
Pres./Ceo
Phone
(260) 569-9550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Hearing Aid Equipment 332S00000X 17001243A IN

Addresses

Primary practice location

1601 W Lincoln Rd
Kokomo, IN 46902-3275

Mailing address

PO Box 6550
Kokomo, IN 46904-6550
Phone (765) 453-5696

Other practice location 1

525 Sheridan Rd
Noblesville, IN 46060-1317
Phone (317) 776-0036

Other identifiers 1

IdentifierTypeStateIssuer
300034470MedicaidIN

Other names 1

  • Cataract & Laser Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2134508Cataract & Laser Institute - Kokomo1601 W Lincoln Rd, Kokomo, IN 46902Certificate of waiverAug 2, 2027

National Provider Directory

National Provider Directory
Part of
Garner Trump Eye Care

Locations

2500 E Market St
Logansport, IN 46947
Phone (574) 722-5252

4020 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 228-5490

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1801002522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6550",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469046550",
            "telephone_number": "765-453-5696",
            "fax_number": "765-455-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023275",
            "telephone_number": "765-453-5696",
            "fax_number": "765-455-4323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460601317",
            "country_code": "US",
            "telephone_number": "317-776-0036",
            "fax_number": "317-774-9283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST EYE CONSULTANTS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST EYE CONSULTANTS, P.C.",
        "enumeration_date": "2007-05-16",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "GREGRORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES./CEO",
        "authorized_official_telephone_number": "260-569-9550"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "IN",
            "license": "17001243A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cataract & Laser Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cataract & Laser Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.