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52D2249172 CLIA NUMBER - ADVANCED EYECARE

Laboratory Demographics

CLIA Number: 52D2249172

Facility Name: ADVANCED EYECARE

Facility Address:
300 E MILL ST
PLYMOUTH, WI
ZIP 53073
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Facility Phone Number: 920 226-0298

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1477659456

Taxonomy: 152W00000X - Optometrist
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

CLIA Record

Field Name Field Value
CLIA Number 52D2249172
LAB Type Physician Office
Facility Name ADVANCED EYECARE
Street 300 E MILL ST
City PLYMOUTH
State WI
ZIP 53073
Phone 920 226-0298
CertificateType 4
CertificateEffectiveDate 1/19/2024
CertificateExpirationDate 1/18/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024