Organization
WISCONSIN PHYSICIANS EYECARE GROUP, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA JACKSON (SENIOR REVENUE CYCLE MANAGER)
(561) 208-1591
Entity
Organization
Contact information
Practice address
4302 E WASHINGTON AVE, MADISON, WI 53704-3722
(608) 241-1600
(608) 241-6122
Mailing address
1615 S CONGRESS AVE, DELRAY BEACH, FL 33445-6300
(561) 275-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
09/03/2024
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