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Contact Information

GRIEBENOW EYECARE, S.C.
45 10TH ST.
CLINTONVILLE, WI54929
 Phone: 715-823-5112
 Fax: 715-823-5959
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GRIEBENOW EYECARE, S.C.

NPI # 1003045402
LBN Legal business name GRIEBENOW EYECARE, S.C.
Authorized official MELISSA SYLTE - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/07/2009
Last updated 10/15/2025 - About 8 months ago
Identifiers
WI License # 1666
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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