EYE CLINIC OF RACINE LTD. NPI 1417928169

NPI Information

  • NPI: 1417928169
  • Provider Name: EYE CLINIC OF RACINE, LTD.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Address: 3805A SPRING ST
    SUITE 111
    MOUNT PLEASANT, WI
    ZIP 53405
  • Phone: (262) 637-9615

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NPI Details

EYE CLINIC OF RACINE, LTD. is an ophthalmology in Mount Pleasant, 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. EYE CLINIC OF RACINE, LTD. NPI is 1417928169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3805A SPRING ST
SUITE 111
MOUNT PLEASANT, WI
ZIP 53405-600
Phone: (262) 637-9615
Fax: (262) 637-4437

The provider's authorized official is Laura L Lemke .
The authorized official title is Administrator and has the following contact phone number (262) 637-9615.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 7/24/2015.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132878900MEDICAIDWISCONSIN
20183960001MEDICARE NSCWISCONSIN

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: 3/30/2025

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