Organization
GRIEBENOW EYECARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SYLTE (BUSINESS MANAGER)
(920) 982-3711
Entity
Organization
Contact information
Practice address
105 NORTHRIDGE DRIVE, NEW LONDON, WI 54961
(920) 982-3711
(920) 982-3009
Mailing address
PO BOX 230, NEW LONDON, WI 54961-0230
(920) 982-3711
(920) 982-3009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38510500
—
WI
Enumeration date
01/04/2007
Last updated
08/19/2020
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