Organization
ANDERSON & SHAPIRO EYE SURGEONS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
1200 JOHN Q HAMMONS DR STE 100, MADISON, WI 53717-1967
(608) 827-7705
Mailing address
1200 JOHN Q HAMMONS DR STE 100, MADISON, WI 53717-1967
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32897700
—
WI
Enumeration date
11/17/2005
Last updated
09/11/2025
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