Provider Demographics
NPI:1891017745
Name:MIDWESTERN UNIVERSITY
Entity Type:Organization
Organization Name:MIDWESTERN UNIVERSITY
Other - Org Name:MIDWESTERN UNIVERSITY EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-515-7307
Mailing Address - Street 1:19389 N 59TH AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6500
Mailing Address - Country:US
Mailing Address - Phone:623-806-7200
Mailing Address - Fax:623-806-7210
Practice Address - Street 1:5865 W UTOPIA ROAD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6500
Practice Address - Country:US
Practice Address - Phone:623-537-6000
Practice Address - Fax:623-806-7235
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDWESTERN UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-19
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty