Organization
EYE CENTERS OF RACINE AND KENOSHA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN GOTTFREDSEN (PRACTICE ADMINISTRATOR)
(262) 902-1397
Entity
Organization
Contact information
Practice address
13200 GLOBE DR STE 216, MOUNT PLEASANT, WI 53177-1605
(262) 635-0700
Mailing address
13200 GLOBE DR STE 216, MT PLEASANT, WI 53177-1605
(262) 637-0500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
12/10/2025
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