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Organization

HUBBELL EYE CLINIC, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS L HUBBELL O.D. (PRESIDENT)
(715) 832-7489
Entity
Organization

Contact information

Practice address
2130 BRACKETT AVE, SUITE A, EAU CLAIRE, WI 54701-4927
(715) 832-7489
(715) 830-5452
Mailing address
2130 BRACKETT AVE, SUITE A, EAU CLAIRE, WI 54701-4927
(715) 832-7489
(715) 830-5452

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1672
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38509900
WI
01
38968
SECURITY HEALTH PLAN
WI
Enumeration date
12/07/2006
Last updated
02/10/2009
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