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Contact Information

COMMUNITY EYECARE INC
950 W RYAN ST
SUITE A
BRILLION, WI54110
 Phone: 920-756-2020
 Fax: 920-756-2000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for COMMUNITY EYECARE INC · (Female)

NPI Number 1548457757
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2007
Last updated 05/15/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 2676
  • WI License # 2869
  • WI Medicaid 38601700
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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