Fox Cities Eye Clinic, Sc

LBN: Fox Cities Eye Clinic, Sc
Fox Cities Eye Clinic, Sc is an health care organization with primary practice located at 1301 E Northland Ave Ste A , Appleton WI 54911-8582. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Fox Cities Eye Clinic, Sc can be contacted via phone (920) 734-8714, or through Austin, Mark C via phone (920) 734-8714.

Contact Information

Primary practice address
1301 E Northland Ave Ste A Appleton WI 54911-8582
Phone: (920) 734-8714
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Austin, Mark C Doctor of Medicine (MD)
Phone: (920) 734-8714

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1316969363
LBN Legal business name Fox Cities Eye Clinic, Sc
DBA Doing business as
Authorized official Austin, Mark C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 25th, 2014 - about 12 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 1316969363 NPPES
Wisconsin Other CH2565 RAILROAD MEDICARE
Wisconsin MEDICAID 32890500 RAILROAD MEDICARE

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