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MIDWEST EYE CONSULTANTS P.C. NPI 1588923098


NPI Information

NPI: 1588923098
Provider Name: MIDWEST EYE CONSULTANTS, P.C.

Doing Business As: THE RETINAL INSTITUTE

Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
7747 W JEFFERSON BLVD
SUITE A
FORT WAYNE, IN
ZIP 46804
Phone: (260) 569-9550
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MIDWEST EYE CONSULTANTS, P.C. is a retina specialist ophthalmology in Fort Wayne, IN. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. MIDWEST EYE CONSULTANTS, P.C. NPI is 1588923098. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Retinal Institute.

The provider's business location address is:

7747 W JEFFERSON BLVD
SUITE A
FORT WAYNE, IN
ZIP 46804-135
Phone: (260) 569-9550
Fax: (260) 569-0760

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 enumeration date for this NPI number is 5/4/2012 and was last updated on 4/17/2017.


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
1207WX0107XOphthalmologyRetina Specialist5600164AINDIANAYes

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
1CD2507MEDICARE PININDIANA
2201072220BMEDICAIDINDIANA
3M100071699MEDICARE PININDIANA
4669220MEDICARE PININDIANA

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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