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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

NPI # 1861463234
LBN Legal business name COMMUNITY EYECARE INC
Authorized official GWEN SCHREIBER - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2006
Last updated 05/14/2008 - 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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