Midwest Eye Consultants, PC
Organization Active NPI Ambulatory Surgical Clinic/Center · Fort Wayne, IN
NPI 1982576286 · NPPES record last updated Sep 18, 2025
Key facts
- NPI
- 1982576286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- MIDWEST EYE CONSULTANTS, PC
- Practice address
- 321 E Wayne St
Fort Wayne, IN 46802-2713 - Phone
- (260) 424-5656
- NPI assigned
- Sep 18, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- MIDWEST EYE CONSULTANTS, PC
Authorized official
- Name
- Cathy Garrett
- Title
- Coo
- Phone
- (260) 569-9550
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 27
Member of 1
Practitioners 71
-
Bruce L Trump, O.D.
-
Kyle J Antos, O.D.
-
Carissa M Barina, MD
-
Austin Beard, OD
-
Alexa A Carver, OD
-
Charles Mikel Craig, O.D.
-
Lindsay J Culver, O.D.
-
Steven A. Degroff, O.D.
-
Brian Andrew Faust, O.D.
-
Randy Fortkamp, OD
-
Adam T Garner, O.D.
-
L'Erin Leigh-Anne Garner, O.D.
-
Paul A Gill, O.D.
-
Allison Lynn Good, O.D.
-
Isaac Gottschalk, OD
-
Chelsea Grant, OD
-
Meg E Guthrie-Pennington, O.D.
-
Nazret Harris, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260224003806 | IN | Part B Supplier - Ambulatory Surgical Center | 2961399217 | Practice locations: Fort Wayne, IN |
National Provider Directory
- Tax ID family
- Garner Trump Eye Care
- Part of
- Garner Trump Eye Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
321 E Wayne St
Fort Wayne, IN 46802-2713
Mailing address
PO Box 549
Wabash, IN 46992-0549
Phone (260) 569-9550
Other names
- CLI Surgery FW - Wayne
NPI Registry JSON
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1982576286",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E WAYNE ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468022713",
"telephone_number": "260-424-5656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST EYE CONSULTANTS, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST EYE CONSULTANTS, PC",
"enumeration_date": "2025-09-18",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "260-569-9550"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CLI Surgery FW - Wayne",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Wayne, IN
- Midwest Eye Consultants, P.C.
- Midwest Eye Consultants, P.C.
- Midwest Eye Consultants, P.C.
- Midwest Eye Consultants, PC
- Midwest Eye Consultants, PC
- Midwest Fertility Specialists
- Midwest Forensic Neuropsychological Assessments
- Midwest Myofunctional and Speech Therapy, LLC
- Midwest Oral and Maxillofacial Surgery P C
- Midwest Oral and Maxillofacial Surgery P C
All providers in Fort Wayne, IN · Ambulatory Surgical Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.