Organization
CHIPPEWA VALLEY EYE CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY M SIPPLE (ADMINISTRATOR)
(715) 552-9337
Entity
Organization
Contact information
Practice address
2715 DAMON ST, EAU CLAIRE, WI 54701-2634
(715) 834-8471
(715) 834-0373
Mailing address
2715 DAMON ST, EAU CLAIRE, WI 54701-3899
(715) 834-8471
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
WI
207W00000X
Ophthalmology Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32671200
—
WI
05
—
38721500
—
WI
Enumeration date
08/16/2005
Last updated
06/18/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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