National Provider Identifier Database

GRIEBENOW EYECARE SC
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

GRIEBENOW EYECARE, S.C.
105 NORTHRIDGE DRIVE
NEW LONDON, WI54961
Phone: 920-982-3711
Fax: 920-982-3009
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

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

NPI Number 1366599433
Legal business name
LBN
GRIEBENOW EYECARE, S.C.
Authorized official MELISSA SYLTE - (BUSINESS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/04/2007
Last updated 08/19/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 38510500

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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