PINNACLE CATARACT AND LASER INSTITUTE LLC NPI 1275513806

NPI Information

NPI: 1275513806
Provider Name: PINNACLE CATARACT AND LASER INSTITUTE LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4648 W SPENCER ST
APPLETON, WI
ZIP 54914
Phone: (920) 731-7557
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PINNACLE CATARACT AND LASER INSTITUTE LLC is an ambulatory surgical clinic center in Appleton, WI. PINNACLE CATARACT AND LASER INSTITUTE LLC NPI is 1275513806. The provider is registered as an organization entity type.

The provider's business location address is:

4648 W SPENCER ST
APPLETON, WI
ZIP 54914-106
Phone: (920) 731-7557
Fax: (920) 731-7558

The provider's authorized official is Michael P Vrabec .
The authorized official title is Co-executive Director and has the following contact phone number (920) 731-7557.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 10/11/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000085002	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	BILLING PROVIDER NUMBER
2	41914200	MEDICAID	WISCONSIN
3	52C0001058	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

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

NPI Synchronization or Removal

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