| NPI | 1952874422 |
|---|---|
| Doing Business As | MIDWEST EYE CONSULTANTS #53 |
| Entity Type | Organization |
| Authorized Contact | CATHY GARRETT Vice President 260-569-9550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-06-09 |