Organization
DOOR COUNTY EYE ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIKA PAULSEN OD (OWNER)
(920) 743-2020
Entity
Organization
Contact information
Practice address
165 N 3RD AVE, STURGEON BAY, WI 54235-2415
(920) 743-2020
Mailing address
165 N 3RD AVE, STURGEON BAY, WI 54235-2415
(920) 743-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1895
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38519100
HEALTH INSURANCE RISK SHARE PLAN
WI
05
—
38519100
—
WI
01
—
410040654
RAILROAD MEDICARE
WI
01
—
613054200
U. S. DEPT OF LABOR
WI
Enumeration date
05/10/2006
Last updated
03/19/2026
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