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FOX CITIES EYE CLINIC SC NPI 1316969363


NPI Information

NPI: 1316969363
Provider Name: FOX CITIES EYE CLINIC, SC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1301 E NORTHLAND AVE STE A
APPLETON, WI
ZIP 54911
Phone: (920) 734-8714
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FOX CITIES EYE CLINIC, SC is an ophthalmology in Appleton, 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. FOX CITIES EYE CLINIC, SC NPI is 1316969363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 E NORTHLAND AVE STE A
APPLETON, WI
ZIP 54911-582
Phone: (920) 734-8714

The provider's authorized official is Mark C Austin .
The authorized official title is Physician/owner and has the following contact phone number (920) 734-8714.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 11/25/2014.


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
1207W00000XOphthalmologyYes

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
132890500MEDICAIDWISCONSIN
2CH2565OTHERWISCONSINRAILROAD MEDICARE
3000045225MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

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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