Organization
TOWER CLOCK EYE CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JORGENSEN (PRACTICE ADMINISTRATOR)
(920) 593-5724
Entity
Organization
Contact information
Practice address
229 E GREEN BAY ST, SHAWANO, WI 54166-2482
(920) 499-3102
(920) 499-9636
Mailing address
1087 W MASON ST, GREEN BAY, WI 54303-1859
(920) 499-3102
(920) 499-9636
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
06/24/2025
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