# EYE CENTERS OF RACINE AND KENOSHA LTD

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

## Provider details

- **NPI number:** 1558232926
- **Authorized official:** MELISSA ANN GOTTFREDSEN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (262) 902-1397

## Contact information

- **Practice address:** 13200 GLOBE DR STE 216, MOUNT PLEASANT, WI 53177-1605
- **Practice address phone:** (262) 635-0700
- **Mailing address:** 13200 GLOBE DR STE 216, MT PLEASANT, WI 53177-1605
- **Mailing address phone:** (262) 637-0500

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2025
- **Last updated:** 12/10/2025