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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

NPI # 1548457757
LBN Legal business name COMMUNITY EYECARE INC
Authorized official CHARLES BURGESS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2007
Last updated 05/15/2008 - About 18 years ago
Identifiers
WI License # 2676
WI License # 2869
WI Medicaid 38601700
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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