| NPI | 1043273659 |
|---|---|
| Doing Business As | MIDWEST EYE CONSULTANTS #05 |
| Entity Type | Organization |
| Authorized Contact | GREGORY L GARNER Pres./CEO 260-569-9550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 56000164A) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2012-12-11 |