# WATERTOWN REGIONAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WATERTOWN REGIONAL MEDICAL CENTER, INC
- **Other names:** UWHP WRMC Center For Eye Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083943138
- **Legal business name:** WATERTOWN REGIONAL MEDICAL CENTER, INC
- **Authorized official:** ROBERT J KLUGE (DIRECTOR-PATIENT ACCOUNTING)
- **Authorized official phone:** (920) 262-4784

## Contact information

- **Practice address:** 123 HOSPITAL DR, SUITE 1002, WATERTOWN, WI 53098-3320
- **Practice address phone:** (920) 261-8225
- **Practice address fax:** (920) 261-5343
- **Mailing address:** 125 HOSPITAL DR, WATERTOWN, WI 53098-3303
- **Mailing address phone:** (920) 262-4784
- **Mailing address fax:** (920) 262-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | WI | — |
| 207W00000X | Ophthalmology Physician | — | WI | Yes |

## Other

- **Enumeration date:** 12/21/2009
- **Last updated:** 03/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100007049 | — | WI |