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MEDICAL EYE CLINIC OF EAU CLAIRE NPI 1073710968


NPI Information

NPI: 1073710968
Provider Name: MEDICAL EYE CLINIC OF EAU CLAIRE

Doing Business As: EAU CLAIRE OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2715 DAMON ST
SUITE 200
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 834-5644
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MEDICAL EYE CLINIC OF EAU CLAIRE is an eyewear supplier in Eau Claire, WI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MEDICAL EYE CLINIC OF EAU CLAIRE NPI is 1073710968. The provider is registered as an organization entity type.
The provider Is Doing Business As Eau Claire Optical.

The provider's business location address is:

2715 DAMON ST
SUITE 200
EAU CLAIRE, WI
ZIP 54701-634
Phone: (715) 834-5644
Fax: (715) 834-5674

The provider's authorized official is Roy A Olson .
The authorized official title is Owner and has the following contact phone number (715) 834-5644.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 4/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier17337WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138444400MEDICAIDWISCONSIN
20146880001MEDICARE NSCWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.