Organization
PAYE EYE CARE CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA ANN OVERLY OD (VICE PRESIDENT)
(920) 499-2147
Entity
Organization
Contact information
Practice address
1515 SIXTH ST, GREEN BAY, WI 54304-2272
(920) 499-2147
(920) 499-0574
Mailing address
1515 SIXTH ST, GREEN BAY, WI 54304-2272
(920) 499-2147
(920) 499-0574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1546035
WI
152W00000X
Optometrist
2511035
WI
Other
Enumeration date
07/04/2006
Last updated
11/11/2010
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