Community Eyecare Center Sc in Waupaca - Optometrist
Community Eyecare Center Sc - NPI 1912023987
Community Eyecare Center Sc is a Optometrist in Waupaca, Wisconsin. Community Eyecare Center Sc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Community Eyecare Center Sc is 1912023987. The last update date is 2012-04-23.
Community Eyecare Center Sc's current location address is 222 S Washington St, Waupaca, Wisconsin. You can contact this provider via phone number 7152582020 and fax number 7152589301. The mailing address for Community Eyecare Center Sc is 222 S Washington St, Waupaca, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Eyecare Center Sc |
|---|---|
| Address | 222 S Washington St, Waupaca, Wisconsin |
| Phone Number | 7152582020 |
| Fax Number | 7152589301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Byers L. Jeffrey |
| Credentials | O.D. |
| Telephone Number | 7152582020 |
NPI Number Detail
| NPI Number | 1912023987 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2012-04-23 |
Provider Mailing Address Detail
| Address | 222 S Washington St |
|---|---|
| City | Waupaca |
| State | Wisconsin (WI) |
| Post Code | 549811531 |
| Phone Number | 7152582020 |
| Fax Number | 7152589301 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2492 |
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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 |
|---|---|---|---|
| 110001714 | WI | WEA | |
| 38727200 | WI | -- |
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What is the unique identifier code issued to Community Eyecare Center Sc by the Centers for Medicare & Medicaid Services?
The Community Eyecare Center Sc has been assigned the NPI (National Provider Identifier) 1912023987. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Community Eyecare Center Sc is physically located?
The Community Eyecare Center Sc is physically situated at the following address: 222 S Washington St, Waupaca, WI, 549811531.
What is Community Eyecare Center Sc's area of expertise and its corresponding taxonomy classification?
The Community Eyecare Center Sc's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
When did the Community Eyecare Center Sc receive its 1912023987?
The Community Eyecare Center Sc was issued its 1912023987 on 2007-03-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Community Eyecare Center Sc's details last updated?
The information pertaining to the Community Eyecare Center Sc, including its address, specialty, and other details, was most recently updated on 2012-04-23.