# SAVAGLIO EYE CLINIC SC

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

## Provider details

- **NPI number:** 1245308477
- **Authorized official:** DR. VINCENT PAUL SAVAGLIO MD (PHYSICIAN PRESIDENT)
- **Authorized official phone:** (262) 657-3636

## Contact information

- **Practice address:** 3535 30TH AVENUE, SUITE 102, KENOSHA, WI 53144
- **Practice address phone:** (262) 657-3636
- **Mailing address:** 3535 30TH AVENUE, SUITE 102, KENOSHA, WI 53144
- **Mailing address phone:** (262) 657-3636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 16444020 | WI | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 10/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 31101700 | — | WI |