Organization
EGGERT & EGGERT LLC
Active
Other names
The Eyecare Place
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN D EGGERT OD (OWNER/DOCTOR)
(920) 686-1000
Entity
Organization
Contact information
Practice address
700 E MAGNOLIA AVE, MANITOWOC, WI 54220-2256
(920) 686-1000
Mailing address
700 E MAGNOLIA AVE, MANITOWOC, WI 54220-2256
(920) 686-1000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2292
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000047354
MEDICARE
WI
Enumeration date
05/04/2011
Last updated
06/20/2011
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