Warren Eye Care

LBN: Warren Eye Care
Warren Eye Care is an health care organization with primary practice located at 4060 N Main St , Racine WI 53402-3121. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Warren Eye Care can be contacted via phone (262) 752-2020, or through Warren, John via phone (262) 752-2020.

Contact Information

Primary practice address
4060 N Main St Racine WI 53402-3121
Phone: (262) 752-2020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Warren, John Doctor of Optometry (OD)
Phone: (262) 752-2020

Health care specialties

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

Profile Details

NPI number 1114189750
LBN Legal business name Warren Eye Care
DBA Doing business as
Authorized official Warren, John Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2008
Last updated Jun 25th, 2008 - about 18 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 1114189750 NPPES
Wisconsin MEDICAID 38586500

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