Community Eyecare Inc

LBN: Community Eyecare Inc
Community Eyecare Inc is an health care organization with primary practice located at 1255 Appleton Rd , Menasha WI 54952-1501. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Community Eyecare Inc can be contacted via phone (920) 722-6872, or through Schreiber, Gwen E via phone (920) 722-6872.

Contact Information

Primary practice address
1255 Appleton Rd Menasha WI 54952-1501
Phone: (920) 722-6872
Fax: (920) 722-6335
Website:
Map and Directions
Authorized official contact:
Name: Schreiber, Gwen E
Phone: (920) 722-6872

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2869 Wisconsin
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2676 Wisconsin

Profile Details

NPI number 1861463234
LBN Legal business name Community Eyecare Inc
DBA Doing business as
Authorized official Schreiber, Gwen E
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated May 14th, 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 1861463234 NPPES
Wisconsin MEDICAID 38601700

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