Eye Prosthetics Of Wisconsin

LBN: Eye Prosthetics Of Wisconsin
Eye Prosthetics Of Wisconsin is an health care organization with primary practice located at 13255 W Bluemound Rd 101, Brookfield WI 53005-6245. The organization recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as the primary health care specialty. Eye Prosthetics Of Wisconsin can be contacted via phone (262) 754-3681, or through Tynes, Susan via phone (262) 754-3681.

Contact Information

Primary practice address
13255 W Bluemound Rd 101 Brookfield WI 53005-6245
Phone: (262) 754-3681
Fax: (262) 754-3682
Website:
Map and Directions
Authorized official contact:
Name: Tynes, Susan B.C.O.
Phone: (262) 754-3681

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X

Profile Details

NPI number 1609839497
LBN Legal business name Eye Prosthetics Of Wisconsin
DBA Doing business as
Authorized official Tynes, Susan B.C.O.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Feb 19th, 2024 - about last year

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 1609839497 NPPES
Wisconsin MEDICAID 41731500

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