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Organization

EYE CARE 4 U, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT E. FISCH OD (PRESIDENT)
(262) 656-0428
Entity
Organization

Contact information

Practice address
5455 SHERIDAN RD, LL20, KENOSHA, WI 53140-3734
(262) 656-0428
(262) 656-1623
Mailing address
5455 SHERIDAN RD, LL20, KENOSHA, WI 53140-3734
(262) 656-0428
(262) 656-1623

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
152W00000X
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152W00000X
TAXONOMY
WI
01
1936-TPA
LICENSE
WI
05
38523300
WI
Enumeration date
12/22/2006
Last updated
03/07/2023
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