AURORA HEALTH CARE VENTURES INC NPI 1407876840

NPI Information

AURORA HEALTH CARE VENTURES INC is an eyewear supplier in Kenosha, WI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. AURORA HEALTH CARE VENTURES INC NPI is 1407876840. The provider is registered as an organization entity type.

The provider's business location address is:

6815 118TH AVE
SUITE 125
KENOSHA, WI
ZIP 53142-420
Phone: (262) 948-7035
Fax: (262) 948-7036

The provider's authorized official is Mary Pantel .
The authorized official title is Billing Supervisor and has the following contact phone number (920) 803-3266.

The CLIA number assigned to this NPI record is 52D1023662 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/20/2006 and was last updated on 6/13/2014.

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:

Other Identifiers

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

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