Stewart Avenue Optical, Inc. in Wausau - Eye Bank

Stewart Avenue Optical, Inc. - NPI 1780704049

Stewart Avenue Optical, Inc. is a Eye Bank in Wausau, Wisconsin. Stewart Avenue Optical, Inc. practices all healthcare services and medical treatments related to Eye Bank. The NPI Number for Stewart Avenue Optical, Inc. is 1780704049. The last update date is 2020-08-22.

Stewart Avenue Optical, Inc.'s current location address is 2100 Stewart Ave Ste 120, Wausau, Wisconsin. You can contact this provider via phone number 7158451988 and fax number 7158428793. The mailing address for Stewart Avenue Optical, Inc. is 2100 Stewart Ave Ste 120, Wausau, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Stewart Avenue Optical, Inc.
Address 2100 Stewart Ave Ste 120, Wausau, Wisconsin
Phone Number 7158451988
Fax Number 7158428793
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Lyons Nicole
Telephone Number 7158451988

NPI Number Detail

NPI Number 1780704049
Provider Enumeration Date 2007-03-30
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2100 Stewart Ave Ste 120
City Wausau
State Wisconsin (WI)
Post Code 544011707
Phone Number 7158451988
Fax Number 7158428793

Provider's Primary Taxonomy Detail

Speciality Eye Bank
Taxonomy 332G00000X
Licence No 2629
Definition:
An eye bank procures and distributes eyes for transplant, education and research. To promote patient safety, donated eyes and donor medial histories are evaluated based on strict Eye Bank Association of America Medical Standards

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FAQs about Stewart Avenue Optical, Inc.

What is the unique 10-digit identification code assigned to Stewart Avenue Optical, Inc. by the Centers for Medicare & Medicaid Services?

The Stewart Avenue Optical, Inc. has been issued the NPI (National Provider Identifier) 1780704049, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Stewart Avenue Optical, Inc. is geographically located?

The Stewart Avenue Optical, Inc. is physically situated at the following location: 2100 Stewart Ave Ste 120, Wausau, WI, 544011707.

What is the area of specialization for Stewart Avenue Optical, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Stewart Avenue Optical, Inc. is Eye Bank, and the corresponding taxonomy code that categorizes this area of expertise is 332G00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1780704049 to Stewart Avenue Optical, Inc.?

The Stewart Avenue Optical, Inc. received its 1780704049 assignment from the Centers for Medicare & Medicaid Services on 2007-03-30.

As of what date were the details pertaining to Stewart Avenue Optical, Inc. last refreshed?

The information related to the Stewart Avenue Optical, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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