# MEDICAL EYE ASSOCIATES, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073285912
- **Authorized official:** KAYLA MCCULLOUGH (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (262) 506-1627

## Contact information

- **Practice address:** 201 N MAYFAIR RD STE 525, WAUWATOSA, WI 53226-4216
- **Practice address phone:** (262) 547-3352
- **Mailing address:** 1111 DELAFIELD ST STE 312, WAUKESHA, WI 53188-3407
- **Mailing address phone:** (262) 506-1627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2021
- **Last updated:** 10/09/2023
