Solberg Eye Care Sc

LBN: Solberg Eye Care Sc
Solberg Eye Care Sc is an health care organization with primary practice located at S30W24896 Sunset Dr Suite 105, Waukesha WI 53189-7021. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Solberg Eye Care Sc can be contacted via phone (262) 542-5295, or through Solberg, Shane A via phone (262) 542-5295.

Contact Information

Primary practice address
S30W24896 Sunset Dr Suite 105 Waukesha WI 53189-7021
Phone: (262) 542-5295
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Solberg, Shane A
Phone: (262) 542-5295

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 2334 Wisconsin

Profile Details

NPI number 1255510095
LBN Legal business name Solberg Eye Care Sc
DBA Doing business as
Authorized official Solberg, Shane A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2007
Last updated Apr 29th, 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 1255510095 NPPES
Wisconsin MEDICAID 38587900

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