# SIMON FAMILY EYE CARE, LLC

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

## Provider details

- **NPI number:** 1649644543
- **Authorized official:** DEBRA SIMON (OWNER)
- **Authorized official phone:** (262) 599-7045

## Contact information

- **Practice address:** 14820 W MAYFLOWER DR, NEW BERLIN, WI 53151-6716
- **Practice address phone:** (262) 227-0542
- **Mailing address:** 15300 W GRANGE AVE, NEW BERLIN, WI 53151-7909
- **Mailing address phone:** (262) 599-7045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2861-035 | WI | Yes |

## Other

- **Enumeration date:** 11/16/2015
- **Last updated:** 11/16/2015