Organization
ADVANCED EYECARE & CONTACT LENS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGER GIBSON OD (OWNER)
(262) 249-1000
Entity
Organization
Contact information
Practice address
154 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-1000
(262) 249-1255
Mailing address
154 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-1000
(262) 249-1255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2495
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38618100
—
WI
Enumeration date
07/10/2008
Last updated
07/15/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us