# EYE CLINIC OF WISCONSIN, S.C.

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

## Provider details

- **NPI number:** 1962485615
- **Authorized official:** SHARON J LONG COE (ADMINISTRATOR)
- **Authorized official phone:** (715) 261-8500

## Contact information

- **Practice address:** 3401 STANLEY ST, STEVENS POINT, WI 54481-1326
- **Practice address phone:** (715) 344-6544
- **Practice address fax:** (715) 344-7391
- **Mailing address:** PO BOX 689, WAUSAU, WI 54402-0689
- **Mailing address phone:** (715) 261-8500
- **Mailing address fax:** (715) 261-8667

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 07/19/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32667800 | — | WI |