# TWO RIVERS EYE CLINIC

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

## Provider details

- **NPI number:** 1114084324
- **Authorized official:** DR. STEVEN P GAINEY M.D. (OPHTHALMOLOGIST)
- **Authorized official phone:** (920) 684-4429

## Contact information

- **Practice address:** 1603 WASHINGTON ST, TWO RIVERS, WI 54241-3021
- **Practice address phone:** (920) 793-2725
- **Mailing address:** PO BOX 1900, MANITOWOC, WI 54221-1900
- **Mailing address phone:** (920) 684-4429
- **Mailing address fax:** (920) 684-6892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 156FX1800X | Optician | — | NULL | — |
| 156FX1800X | Optician | — | — | — |
| 207W00000X | Ophthalmology Physician | 44214-020 | WI | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2007