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Contact Information

SODERBERG EYE CARE CENTER
124 OAK STREET
GLENWOOD CITY, WI54013
 Phone: 715-265-7127
 Fax: 715-265-4238
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SODERBERG EYE CARE CENTER · (Female)

NPI # 1356444798
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2006
Last updated 03/04/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1396
  • WI Medicaid 38501900
  • MN Other 92533SO BCBS
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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