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EYE ASSOCIATES OF GREEN BAY SC NPI 1699974980


NPI Information

NPI: 1699974980
Provider Name: EYE ASSOCIATES OF GREEN BAY, SC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2020 RIVERSIDE DR STE 201
GREEN BAY, WI
ZIP 54301
Phone: (920) 965-7000
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EYE ASSOCIATES OF GREEN BAY, SC is an ophthalmology in Green Bay, 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 ASSOCIATES OF GREEN BAY, SC NPI is 1699974980. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2020 RIVERSIDE DR STE 201
GREEN BAY, WI
ZIP 54301-300
Phone: (920) 965-7000
Fax: (920) 965-4701

The provider's authorized official is Sally Jilot .
The authorized official title is Administrator and has the following contact phone number (920) 965-4800.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 5/29/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14334090001OTHERWISCONSINADMINASTAR FEDERAL REGION
2000007100OTHERWISCONSINMEDICARE GROUP
332899700OTHERWISCONSINWMAP GROUP
4CJ2796OTHERWISCONSINMEDICARE RR GROUP

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

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