Kerry Lee Griebenow in New London - Corneal And Contact Management
Kerry Lee Griebenow - NPI 1063487072
Kerry Lee Griebenow is a Corneal And Contact Management in New London, Wisconsin. Kerry Lee Griebenow practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Kerry Lee Griebenow is 1063487072. The last update date is 2007-07-08.
Kerry Lee Griebenow's current location address is 105 Northridge Dr, New London, Wisconsin. You can contact this provider via phone number 9209823711 and fax number 9209823009. The mailing address for Kerry Lee Griebenow is 105 Northridge Dr, New London, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Lee Griebenow |
|---|---|
| Address | 105 Northridge Dr, New London, Wisconsin |
| Phone Number | 9209823711 |
| Fax Number | 9209823009 |
| Sole Proprietor | X |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1063487072 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 Northridge Dr |
|---|---|
| City | New London |
| State | Wisconsin (WI) |
| Post Code | 549612703 |
| Phone Number | 9209823711 |
| Fax Number | 9209823009 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 1666 |
|
Definition: The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition whi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38510500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kerry Lee Griebenow by the Centers for Medicare & Medicaid Services?
The Kerry Lee Griebenow has been assigned the NPI (National Provider Identifier) 1063487072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Kerry Lee Griebenow is geographically located?
The Kerry Lee Griebenow is physically situated at the following location: 105 Northridge Dr, New London, WI, 549612703.
What is Kerry Lee Griebenow's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kerry Lee Griebenow's specialized field of practice is Corneal And Contact Management, and the corresponding taxonomy code that categorizes this area of specialization is 152Wc0802X.
When did Kerry Lee Griebenow receive its 1063487072 assignment?
The Kerry Lee Griebenow was assigned its 1063487072 on 2006-02-22, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kerry Lee Griebenow most recently updated?
The details pertaining to the Kerry Lee Griebenow, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.