Valley Eye Associates

LBN: Valley Eye Associates
Valley Eye Associates is an health care organization with primary practice located at 21 Park Pl , Appleton WI 54914-8872. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Valley Eye Associates can be contacted via phone (920) 739-4361, or through Jacobs, Jean Marie via phone (920) 749-4058.

Contact Information

Primary practice address
21 Park Pl Appleton WI 54914-8872
Phone: (920) 739-4361
Fax: (920) 739-6368
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Jean Marie
Phone: (920) 749-4058

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1699789032
LBN Legal business name Valley Eye Associates
DBA Doing business as
Authorized official Jacobs, Jean Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Jul 9th, 2021 - 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 1699789032 NPPES
Wisconsin MEDICAID 32681900

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