# EYE PHYSICIANS AND SURGEONS SC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EYE PHYSICIANS AND SURGEONS SC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831747138
- **Legal business name:** EYE PHYSICIANS AND SURGEONS SC
- **Authorized official:** MATTHEW A DAHLGREN MD (PRESIDENT)
- **Authorized official phone:** (262) 723-4600

## Contact information

- **Practice address:** 222 ADAMS ST, BURLINGTON, WI 53105-1466
- **Practice address phone:** (262) 763-7772
- **Practice address fax:** (262) 763-7315
- **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:** 08/29/2019
- **Last updated:** 12/15/2020