Soderberg Eye Care Center in Glenwood City - Optometrist
Soderberg Eye Care Center - NPI 1356444798
Soderberg Eye Care Center is a Optometrist in Glenwood City, Wisconsin. Soderberg Eye Care Center practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Soderberg Eye Care Center is 1356444798. The last update date is 2009-03-04.
Soderberg Eye Care Center's current location address is Po Box 97, Glenwood City, Wisconsin. You can contact this provider via phone number 7152657127 and fax number 7152654238. The mailing address for Soderberg Eye Care Center is Po Box 97, Glenwood City, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Soderberg Eye Care Center |
|---|---|
| Address | Po Box 97, Glenwood City, Wisconsin |
| Phone Number | 7152657127 |
| Fax Number | 7152654238 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Soderberg Raymond Dennis |
| Credentials | O.D. |
| Telephone Number | 7152657127 |
NPI Number Detail
| NPI Number | 1356444798 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2009-03-04 |
Provider Mailing Address Detail
| Address | Po Box 97 |
|---|---|
| City | Glenwood City |
| State | Wisconsin (WI) |
| Post Code | 540130097 |
| Phone Number | 7152657127 |
| Fax Number | 7152654238 |
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 |
|---|---|---|---|
| 38501900 | WI | -- | |
| 92533SO | MN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Soderberg Eye Care Center by the Centers for Medicare & Medicaid Services?
The Soderberg Eye Care Center has been assigned the NPI (National Provider Identifier) 1356444798 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Soderberg Eye Care Center?
The Soderberg Eye Care Center is physically situated at Po Box 97, in the city of Glenwood City, state of WI, with the postal code 540130097.
What is the area of specialization for Soderberg Eye Care Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Soderberg Eye Care Center is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356444798 to Soderberg Eye Care Center?
The Centers for Medicare & Medicaid Services assigned the 1356444798 to Soderberg Eye Care Center on 2006-09-07.
When was the information regarding Soderberg Eye Care Center most recently updated?
The details pertaining to the Soderberg Eye Care Center, including its address, specialty, and other relevant information, were last refreshed on 2009-03-04.
NPI Number: 1962405878
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