OPHTHALMIC SURGERY OF WI LTD; NPI #1578617957

Contact Information

OPHTHALMIC SURGERY OF WI LTD

509 S WASHBURN ST
OSHKOSH, WI 54904

Phone: 920-236-1477
Fax: 920-236-4166
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for OPHTHALMIC SURGERY OF WI LTD

NPI #	`1578617957`
LBN Legal business name	OPHTHALMIC SURGERY OF WI LTD
Authorized official	GERALD CLARKE - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/22/2007
Last updated	06/24/2019 - About 7 years ago
Identifiers	n/a

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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