Organization
EYE CARE SURGICAL CONSULTING, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JODY R LAPORTE M.D. (PRESIDENT)
(262) 752-2020
Entity
Organization
Contact information
Practice address
4060 N MAIN ST, RACINE, WI 53402-3121
(262) 752-2020
Mailing address
4060 N MAIN ST, RACINE, WI 53402-3121
(262) 752-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26907-020
WI
207W00000X
Ophthalmology Physician
44898-020
WI
Other
Enumeration date
02/15/2007
Last updated
02/19/2009
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