MIDWEST EYE CONSULTANTS, PC NPI 1780980516

Optometrist in South Bend, IN

About MIDWEST EYE CONSULTANTS, PC

Midwest Eye Consultants, Pc is a provider in South Bend, IN. The NPI number assigned to this provider is 1780980516. The practitioner's primary taxonomy code is Optometrist (152W00000X). The provider is registered as an organization and their NPI record was last updated 6 years ago. Midwest Eye Consultants, Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Midwest Eye Consultants #42.

NPI

1780980516

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMIDWEST EYE CONSULTANTS, PC
Provider Location Address220 N IRONWOOD DR SOUTH BEND, IN 46615 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 549 WABASH, IN 46992 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameMIDWEST EYE CONSULTANTS #42 Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date01-26-2011 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-11-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code152W00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.56000164A
License StateIN
Taxonomy DescriptionDoctors 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.

Business Address

MIDWEST EYE CONSULTANTS, PC
220 N IRONWOOD DR
SOUTH BEND, IN
ZIP 46615
Phone: (574) 289-3937
Fax: (574) 280-7355

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Mailing Address

MIDWEST EYE CONSULTANTS, PC
PO BOX 549
WABASH, IN
ZIP 46992
Phone: (260) 569-9550
Fax: (260) 569-9244

Authorized Official

Authorized Official NameDR. GREGORY L GARNER OD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRES./CEO
Authorized Official Phone(260) 569-9550

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
M100042614MEDICARE PIN (08)IN
100082470VMEDICAID (05)IN
0317020035MEDICARE NSC (07)IN
452570MEDICARE PIN (08)IN

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013187996DANIEL O. ELLIOTT III OD
Organization
Eyewear Supplier220 N IRONWOOD DR
SOUTH BEND, IN 46615
(574) 233-3617
1083614267 DANIEL O. ELLIOTT III OD
Individual
Optometrist220 N IRONWOOD DR
SOUTH BEND, IN 46615
(574) 233-3617
1144486168DR. BRIAN ANDREW FAUST O.D.
Individual
Optometrist220 N IRONWOOD DR
SOUTH BEND, IN 46615
(574) 289-3937
1235359480OPTOMETRIC ASSOCIATES OF SOUTH BEND
Organization
Optometrist220 N IRONWOOD DR
SOUTH BEND, IN 46615
(574) 289-3937
1306848031DR. RICHARD E STULLER O.D.
Individual
Optometrist220 N IRONWOOD DR
SOUTH BEND, IN 46615
(574) 233-4108
1487734471ELLIOTT AND MORLAN LLC
Organization
Optometrist220 N IRONWOOD DR
SOUTH BEND, IN 46615
(574) 233-2626
1770585457DR. JAMES L SHORT O.D.
Individual
Optometrist220 N IRONWOOD DR
SOUTH BEND, IN 46615
(574) 234-8251
1790787414DR. THOMAS D MORLAN O.D.
Individual
Optometrist220 N IRONWOOD DR
SOUTH BEND, IN 46615
(574) 233-2160
1912132804OASB INC
Organization
Optometrist220 N IRONWOOD DR
SOUTH BEND, IN 46615
(574) 289-3937
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