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Contact Information

SIREN FAMILY EYECARE, LLC
24082 STATE ROAD 35
SIREN, WI54872
 Phone: 715-349-2733
 Fax: 715-349-2744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SIREN FAMILY EYECARE LLC · (Female)

NPI # 1063616571
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2007
Last updated 06/21/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 2728
  • WI Medicaid 38725900
  • WI Other 57568 DAVIS VISION
  • WI Other 38725900 GROUP HEALTH OF EAU CLAIRE
  • WI Other 21-00884 MEDICA EYEWEAR PIN
  • WI Other 47955 SPECTERA/OPTUM HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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