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Contact Information

COMMUNITY EYECARE INC
1255 APPLETON RD
MENASHA, WI54952-1501
 Phone: 920-722-6872
 Fax: 920-722-6335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

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

NPI Number 1861463234
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2006
Last updated 05/14/2008 - 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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