Soderberg Eye Care Center Sc in Baldwin - Optometrist
Soderberg Eye Care Center Sc - NPI 1548371966
Soderberg Eye Care Center Sc is a Optometrist in Baldwin, Wisconsin. Soderberg Eye Care Center Sc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Soderberg Eye Care Center Sc is 1548371966. The last update date is 2013-05-14.
Soderberg Eye Care Center Sc's current location address is 1620 10th Ave, Baldwin, Wisconsin. You can contact this provider via phone number 7156843310 and fax number 7156844560. The mailing address for Soderberg Eye Care Center Sc is 1620 10th Ave, Baldwin, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Soderberg Eye Care Center Sc |
|---|---|
| Address | 1620 10th Ave, Baldwin, Wisconsin |
| Phone Number | 7156843310 |
| Fax Number | 7156844560 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Soderberg Raymond Dennis |
| Credentials | O. D. |
| Telephone Number | 7156843310 |
NPI Number Detail
| NPI Number | 1548371966 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2013-05-14 |
Provider Mailing Address Detail
| Address | 1620 10th Ave |
|---|---|
| City | Baldwin |
| State | Wisconsin (WI) |
| Post Code | 540029033 |
| Phone Number | 7156843310 |
| Fax Number | 7156844560 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1396 |
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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 |
|---|---|---|---|
| 22-12358 | MN | MEDICA | |
| 234200600 | MN | -- | |
| 92530S0 | MN | BCBS | |
| 130000518 | WI | WEA | |
| 38411800 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Soderberg Eye Care Center Sc by the Centers for Medicare & Medicaid Services (CMS)?
The Soderberg Eye Care Center Sc has been assigned the NPI (National Provider Identifier) 1548371966. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Soderberg Eye Care Center Sc's physical address?
The Soderberg Eye Care Center Sc is physically located at 1620 10Th Ave, in the city of Baldwin, WI, with the postal code 540029033.
What is Soderberg Eye Care Center Sc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Soderberg Eye Care Center Sc is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
When was the Soderberg Eye Care Center Sc's 1548371966 issued?
The Soderberg Eye Care Center Sc's 1548371966 was issued on 2006-08-31.
When was the Soderberg Eye Care Center Sc's information last updated?
The Soderberg Eye Care Center Sc's information was last updated on 2013-05-14.