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CHIPPEWA VALLEY EYE CLINIC LTD NPI 1306838487


NPI Information

NPI: 1306838487
Provider Name: CHIPPEWA VALLEY EYE CLINIC LTD
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2715 DAMON ST
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 834-8471
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CHIPPEWA VALLEY EYE CLINIC LTD is an ophthalmology in Eau Claire, WI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. CHIPPEWA VALLEY EYE CLINIC LTD NPI is 1306838487. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2715 DAMON ST
EAU CLAIRE, WI
ZIP 54701-634
Phone: (715) 834-8471
Fax: (715) 834-0373

The provider's authorized official is Coad Thomas Dow .
The authorized official title is President and has the following contact phone number (715) 834-8471.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 7/18/2008.


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
1152W00000XOptometristWISCONSINNo
2207W00000XOphthalmologyWISCONSINYes

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
10020151MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
20005015MEDICARE PINWISCONSIN
338721500MEDICAIDWISCONSIN
432671200MEDICAIDWISCONSIN

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

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