# EYE CLINIC OF RACINE, LTD.

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

## Provider details

- **NPI number:** 1417928169
- **Authorized official:** MS. LAURA L LEMKE (ADMINISTRATOR)
- **Authorized official phone:** (262) 637-9615

## Contact information

- **Practice address:** 3805A SPRING ST, SUITE 111, MOUNT PLEASANT, WI 53405-1600
- **Practice address phone:** (262) 637-9615
- **Practice address fax:** (262) 637-4437
- **Mailing address:** 3805A SPRING ST, SUITE 111, MOUNT PLEASANT, WI 53405-1600
- **Mailing address phone:** (262) 637-9615
- **Mailing address fax:** (262) 637-4437

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 07/24/2015