# EYE SURGERY ASSOCIATES, S.C.

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

## Provider details

- **NPI number:** 1811005291
- **Authorized official:** GREGORY KWASNY M.D. (PRESIDENT)
- **Authorized official phone:** (414) 259-1022

## Contact information

- **Practice address:** 2300 N MAYFAIR RD, MILWAUKEE, WI 53226-1505
- **Practice address phone:** (414) 639-0188
- **Mailing address:** PO BOX 5166, ELM GROVE, WI 53122-5166
- **Mailing address phone:** (414) 639-0188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 17590 | WI | Yes |

## Other

- **Enumeration date:** 08/27/2006
- **Last updated:** 05/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30939400 | — | WI |