MIDWEST EYE CONSULTANTS P.C. NPI 1639386659

NPI Information

NPI: 1639386659
Provider Name: MIDWEST EYE CONSULTANTS, P.C.

Doing Business As: CLI SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1601 W LINCOLN RD
KOKOMO, IN
ZIP 46902
Phone: (765) 453-5696
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MIDWEST EYE CONSULTANTS, P.C. is an ambulatory surgical clinic center in Kokomo, IN. MIDWEST EYE CONSULTANTS, P.C. NPI is 1639386659. 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:

1601 W LINCOLN RD
KOKOMO, IN
ZIP 46902-275
Phone: (765) 453-5696
Fax: (765) 455-4323

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 15D1073235 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 1/17/2011.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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	ZK8050	MEDICARE PIN	INDIANA
2	200421610B	MEDICAID	INDIANA
3	P00651817	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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