# WISCONSIN OPTOMETRIC EYE DOCTOR, INC.

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

## Provider details

- **NPI number:** 1437768876
- **Authorized official:** ERIC RICHARD TYLER (OWNER/OPTOMETRIST)
- **Authorized official phone:** (651) 206-2418

## Contact information

- **Practice address:** N2577 PLAZA RD \# WI-73, WAUTOMA, WI 54982-7706
- **Practice address phone:** (920) 787-3837
- **Mailing address:** N2577 PLAZA RD \# WI-73, WAUTOMA, WI 54982-7706
- **Mailing address phone:** (920) 787-3837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2020
- **Last updated:** 09/09/2025