# MEDICAL EYE ASSOCIATES OF WISCONSIN,S.C.

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

## Provider details

- **NPI number:** 1184902728
- **Authorized official:** DR. RONALD ALLEN M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (262) 796-3937

## Contact information

- **Practice address:** 15455 W BLUEMOUND RD, SUITE 240, BROOKFIELD, WI 53005-4007
- **Practice address phone:** (262) 796-3937
- **Mailing address:** 7840 MONTGOMERY RD, CINCINNATI, OH 45236-4301
- **Mailing address phone:** (513) 792-9292

## Taxonomy

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

## Other

- **Enumeration date:** 08/01/2011
- **Last updated:** 08/01/2011
