Advanced Eyecare & Contact Lens Center, Llc

LBN: Advanced Eyecare & Contact Lens Center, Llc
Advanced Eyecare & Contact Lens Center, Llc is an health care organization with primary practice located at 154 E Geneva Sq , Lake Geneva WI 53147-9694. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Advanced Eyecare & Contact Lens Center, Llc can be contacted via phone (262) 249-1000, or through Gibson, Inger via phone (262) 249-1000.

Contact Information

Primary practice address
154 E Geneva Sq Lake Geneva WI 53147-9694
Fax: (262) 249-1255
Website:
Authorized official contact:
Name: Gibson, Inger Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2495 Wisconsin

Profile Details

NPI number 1780848523
LBN Legal business name Advanced Eyecare & Contact Lens Center, Llc
DBA Doing business as
Authorized official Gibson, Inger Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2008
Last updated Jul 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780848523 NPPES
Wisconsin MEDICAID 38618100

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