Advanced Family Eyecare

LBN: Advanced Family Eyecare
Advanced Family Eyecare is an health care organization with primary practice located at 308 W Fulton St , Waupaca WI 54981-1422. 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 Family Eyecare can be contacted via phone (715) 258-8168, or through Everts, Daniel R via phone (715) 258-8168.

Contact Information

Primary practice address
308 W Fulton St Waupaca WI 54981-1422
Phone: (715) 258-8168
Fax: (715) 258-8436
Website:
Map and Directions
Authorized official contact:
Name: Everts, Daniel R Doctor of Optometry (OD)
Phone: (715) 258-8168

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2753 Wisconsin

Profile Details

NPI number 1578640223
LBN Legal business name Advanced Family Eyecare
DBA Doing business as
Authorized official Everts, Daniel R Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 18th, 2011 - about 15 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 1578640223 NPPES
Wisconsin MEDICAID 38716100

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