MIDWEST EYE CONSULTANTS P.C. NPI 1093778052

NPI Information

MIDWEST EYE CONSULTANTS, P.C. is an ambulatory surgical clinic center in Fort Wayne, IN. MIDWEST EYE CONSULTANTS, P.C. NPI is 1093778052. The provider is registered as an organization entity type.
The provider Is Doing Business As Cli Surgery Center.

The provider's business location address is:

7747 W JEFFERSON BLVD
SUITE B
FORT WAYNE, IN
ZIP 46804-135
Phone: (260) 434-9104
Fax: (260) 434-9105

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 15D1007693 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 7/9/2010.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.