Eye Clinic Of Wisconsin, S.C.

LBN: Eye Clinic Of Wisconsin, S.C.
Eye Clinic Of Wisconsin, S.C. is an health care organization with primary practice located at 101 S Gibson St , Medford WI 54451-1622. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Eye Clinic Of Wisconsin, S.C. can be contacted via phone (715) 748-5775, or through Hattenhauer, Matthew G. via phone (715) 845-8201.

Contact Information

Primary practice address
101 S Gibson St Medford WI 54451-1622
Phone: (715) 748-5775
Fax: (715) 748-0667
Website:
Map and Directions
Authorized official contact:
Name: Hattenhauer, Matthew G. Doctor of Medicine (MD)
Phone: (715) 845-8201

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Wisconsin

Profile Details

NPI number 1285617936
LBN Legal business name Eye Clinic Of Wisconsin, S.C.
DBA Doing business as
Authorized official Hattenhauer, Matthew G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2005
Last updated Aug 22nd, 2020 - about 3 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 1285617936 NPPES
Wisconsin MEDICAID 32667800

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