National Provider Identifier Database

SODERBERG EYE CARE CENTER
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

SODERBERG EYE CARE CENTER
124 OAK STREET
GLENWOOD CITY, WI54013
Phone: 715-265-7127
Fax: 715-265-4238
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for SODERBERG EYE CARE CENTER

NPI Number 1356444798
Legal business name
LBN
SODERBERG EYE CARE CENTER
Authorized official DENNIS SODERBERG - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/07/2006
Last updated 03/04/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 1396
  • WI Medicaid: 38501900
  • MN Other: 92533SO BCBS

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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