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Organization
EYE CENTERS OF RACINE AND KENOSHA LTD
Active
Organization
EYE CENTERS OF RACINE AND KENOSHA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN GOTTFREDSEN (PRACTICE ADMINISTRATOR)
(262) 902-1397
Entity
Organization
Contact information
Practice address
13200 GLOBE DR STE 216, MOUNT PLEASANT, WI 53177-1605
(262) 635-0700
Mailing address
13200 GLOBE DR STE 216, MT PLEASANT, WI 53177-1605
(262) 637-0500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
12/10/2025
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