Organization
ADVANCED EYECARE CENTER, LLC
Active
Other names
Advanced Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE MADASKI (BILLING/CREDENTIALING MNGR)
(920) 336-2020
Entity
Organization
Contact information
Practice address
3237 RIVERSIDE DR STE A, GREEN BAY, WI 54301-1643
(920) 336-2020
(920) 336-2709
Mailing address
3237 RIVERSIDE DR STE A, GREEN BAY, WI 54301-1643
(920) 336-2020
(920) 336-2709
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1957
WI
152W00000X
Optometrist
2070
WI
Other
Enumeration date
07/01/2006
Last updated
12/03/2020
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