Griebenow Eyecare, S.C.

LBN: Griebenow Eyecare, S.C.
Griebenow Eyecare, S.C. is an health care organization with primary practice located at 105 Northridge Drive , New London WI 54961. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Griebenow Eyecare, S.C. can be contacted via phone (920) 982-3711, or through Sylte, Melissa via phone (920) 982-3711.

Contact Information

Primary practice address
105 Northridge Drive New London WI 54961
Phone: (920) 982-3711
Fax: (920) 982-3009
Website:
Map and Directions
Authorized official contact:
Name: Sylte, Melissa
Phone: (920) 982-3711

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1366599433
LBN Legal business name Griebenow Eyecare, S.C.
DBA Doing business as
Authorized official Sylte, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Aug 19th, 2020 - about 5 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 1366599433 NPPES
Wisconsin MEDICAID 38510500

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