# EYE SURGERY CENTER OF WISCONSIN, LLC

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

## Provider details

- **NPI number:** 1205454626
- **Authorized official:** ROBERT MCCARVILLE (ADMINISTRATOR)
- **Authorized official phone:** (417) 889-2040

## Contact information

- **Practice address:** 10148 S 27TH ST, OAK CREEK, WI 53154-5528
- **Practice address phone:** (414) 377-9000
- **Mailing address:** 10148 S 27TH ST, OAK CREEK, WI 53154-5528
- **Mailing address phone:** (414) 377-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 04/03/2025