Antigo Vision Clinic Sc in Antigo - Optometrist
Antigo Vision Clinic Sc - NPI 1295915460
Antigo Vision Clinic Sc is a Optometrist in Antigo, Wisconsin. Antigo Vision Clinic Sc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Antigo Vision Clinic Sc is 1295915460. The last update date is 2008-08-26.
Antigo Vision Clinic Sc's current location address is 714 3rd Ave, Antigo, Wisconsin. You can contact this provider via phone number 7156232180 and fax number 7156237244. The mailing address for Antigo Vision Clinic Sc is 714 3rd Ave, Antigo, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antigo Vision Clinic Sc |
|---|---|
| Address | 714 3rd Ave, Antigo, Wisconsin |
| Phone Number | 7156232180 |
| Fax Number | 7156237244 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kjome Arthur Richard |
| Credentials | OD |
| Telephone Number | 7156232180 |
NPI Number Detail
| NPI Number | 1295915460 |
|---|---|
| Provider Enumeration Date | 2007-11-05 |
| Last Updated Date | 2008-08-26 |
Provider Mailing Address Detail
| Address | 714 3rd Ave |
|---|---|
| City | Antigo |
| State | Wisconsin (WI) |
| Post Code | 544092044 |
| Phone Number | 7156232180 |
| Fax Number | 7156237244 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1477-35 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38563700 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Antigo Vision Clinic Sc?
The Antigo Vision Clinic Sc has been issued the NPI (National Provider Identifier) 1295915460 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Antigo Vision Clinic Sc's physical address?
The Antigo Vision Clinic Sc is physically located at 714 3Rd Ave, in the city of Antigo, WI, with the postal code 544092044.
What is Antigo Vision Clinic Sc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Antigo Vision Clinic Sc is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did Antigo Vision Clinic Sc receive its 1295915460 assignment?
The Antigo Vision Clinic Sc was assigned its 1295915460 on 2007-11-05, which is the date when this unique identifier was issued to the organization.
As of what date were the Antigo Vision Clinic Sc's details last updated?
The information pertaining to the Antigo Vision Clinic Sc, including its address, specialty, and other details, was most recently updated on 2008-08-26.