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NPI Code Detail

MEDICARE: MIDWEST EYE CONSULTANTS OHIO, INC

MEDICARE: MIDWEST EYE CONSULTANTS OHIO, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician56000432AOH
2152W00000XOptometrist56000432AOH

General Provider Information

NPI Number : 1902358062
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST EYE CONSULTANTS OHIO, INC
Provider Business Mailing Address
First Line : PO BOX 432
Second Line :
City : WABASH
State : IN
Zip : 46992-0432
Country : US
Telephone Number : 260-569-9550
Fax Number : 260-569-9244
Provider Business Practice Location Address
First Line : 3509 BRIARFIELD BLVD
Second Line :
City : MAUMEE
State : OH
Zip : 43537-9383
Country : US
Telephone Number : 419-865-3866
Fax Number : 419-865-3451
Authorized Official
Title or Position : PRESIDENT / CHIEF OPERATING OFFICER
Name : CATHY GARRETT-SMITH
Credential :
Telephone Number : 260-569-9550
Provider Enumeration Date : 10/25/2016
Last Update Date : 06/01/2026

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