Organization
COMMUNITY EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWEN E SCHREIBER (MANAGER)
(920) 722-6872
Entity
Organization
Contact information
Practice address
413 S MAIN ST, BLACK CREEK, WI 54106-9501
(920) 722-6872
(920) 722-6335
Mailing address
1255 APPLETON RD, PO BOX 534, MENASHA, WI 54952-1501
(920) 722-6872
(920) 722-6335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2676
WI
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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