Erickson Eye Care, P.C.

LBN: Erickson Eye Care, P.C.
Erickson Eye Care, P.C. is an health care organization with primary practice located at 2656 W 12Th Ave , Fort Mccoy WI 54656-5240. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Erickson Eye Care, P.C. can be contacted via phone (608) 388-5997, or through Garbrecht, Kendra Erickson via phone (608) 799-4138.

Contact Information

Primary practice address
2656 W 12Th Ave Fort Mccoy WI 54656-5240
Phone: (608) 388-5997
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garbrecht, Kendra Erickson Doctor of Optometry (OD)
Phone: (608) 799-4138

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3129-035 Wisconsin

Profile Details

NPI number 1215110424
LBN Legal business name Erickson Eye Care, P.C.
DBA Doing business as
Authorized official Garbrecht, Kendra Erickson Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Feb 25th, 2010 - about 16 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 1215110424 NPPES
Iowa Other 1508962879 INDIVIDUAL NPI
Iowa Other I17029 INDIVIDUAL NPI
Iowa Other I17050 INDIVIDUAL NPI

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