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Organization

COMMUNITY EYECARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GWEN E SCHREIBER (OFFICE MANAGER)
(920) 722-6872
Entity
Organization

Contact information

Practice address
1255 APPLETON RD, MENASHA, WI 54952-1501
(920) 722-6872
(920) 722-6335
Mailing address
1255 APPLETON RD, MENASHA, WI 54952-1501
(920) 722-6872
(920) 722-6335

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2869
WI
152WC0802X
Corneal and Contact Management Optometrist
2676
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38601700
WI
Enumeration date
02/01/2006
Last updated
05/14/2008
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