# EYE PHYSICIANS AND SURGEONS SC

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

## Provider details

- **NPI number:** 1508949181
- **Authorized official:** MATTHEW ALAN DAHLGREN MD (PRESIDENT)
- **Authorized official phone:** (262) 723-4600

## Contact information

- **Practice address:** 1311 S LINCOLN ST, ELKHORN, WI 53121-4375
- **Practice address phone:** (262) 723-4600
- **Practice address fax:** (262) 947-4996
- **Mailing address:** 1311 S LINCOLN ST, ELKHORN, WI 53121-4375
- **Mailing address phone:** (262) 723-4600
- **Mailing address fax:** (262) 723-4710

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 12/02/2022