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MIDWEST EYE CONSULTANTS P.C. NPI 1558592170


NPI Information

NPI: 1558592170
Provider Name: MIDWEST EYE CONSULTANTS P.C.

Doing Business As: MIDWEST EYE CONSULTANTS #38

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 15D2147590

Address:
17615 STATE ROAD 23
SOUTH BEND, IN
ZIP 46635
Phone: (574) 234-7600
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MIDWEST EYE CONSULTANTS P.C. is an optometrist in South Bend, IN. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. MIDWEST EYE CONSULTANTS P.C. NPI is 1558592170. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midwest Eye Consultants #38.

The provider's business location address is:

17615 STATE ROAD 23
SOUTH BEND, IN
ZIP 46635-718
Phone: (574) 234-7600
Fax: (574) 234-8408

The provider's authorized official is Gregory L Garner .
The authorized official title is Pres./ceo and has the following contact phone number (260) 569-9550.

The CLIA number assigned to this NPI record is 15D2147590 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2009 and was last updated on 10/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist5600164AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1452570MEDICARE PININDIANA
20317020031MEDICARE NSCINDIANA
3CD2507OTHERINDIANARAILROAD MEDICARE
4100082470SMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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