EYE CLINIC OF THE FOX VALLEY SC NPI 1699827394

NPI Information

NPI: 1699827394
Provider Name: EYE CLINIC OF THE FOX VALLEY SC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
240 FIRST STREET
NEENAH, WI
ZIP 54956
Phone: (920) 729-6600
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EYE CLINIC OF THE FOX VALLEY SC is an eyewear supplier in Neenah, WI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYE CLINIC OF THE FOX VALLEY SC NPI is 1699827394. The provider is registered as an organization entity type.

The provider's business location address is:

240 FIRST STREET
NEENAH, WI
ZIP 54956-719
Phone: (920) 729-6600
Fax: (920) 729-6603

The provider's authorized official is Stephen S Dudley .
The authorized official title is President and has the following contact phone number (920) 235-3546.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 1/16/2013.

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	332H00000X	Eyewear Supplier				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	1266990002	MEDICARE NSC	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: 5/5/2024

NPI Synchronization or Removal

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