MIDWEST EYE CONSULTANTS P.C. NPI 1043579550

NPI Information

NPI: 1043579550
Provider Name: MIDWEST EYE CONSULTANTS, P.C.

Doing Business As: THE RETINAL INSTITUTE

Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
611 E DOUGLAS RD
SUITE 102
MISHAWAKA, IN
ZIP 46545
Phone: (260) 569-9550
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MIDWEST EYE CONSULTANTS, P.C. is a retina specialist ophthalmology in Mishawaka, IN. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. MIDWEST EYE CONSULTANTS, P.C. NPI is 1043579550. 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:

611 E DOUGLAS RD
SUITE 102
MISHAWAKA, IN
ZIP 46545-464
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 4/20/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207WX0107X	Ophthalmology	Retina Specialist	5600164A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	M100071699	MEDICARE PIN	INDIANA
2	CD2507	MEDICARE PIN	INDIANA
3	201072220C	MEDICAID	INDIANA
4	452570	MEDICARE PIN	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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