Organization
EYE CARE PROFESSIONALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE MARIE TAYLOR WEBB (OFFICE MANAGER)
(920) 435-9511
Entity
Organization
Contact information
Practice address
535 SOUTH MONROE AVE, GREEN BAY, WI 54301-4096
(920) 435-9511
(920) 435-9383
Mailing address
535 SOUTH MONROE AVE, GREEN BAY, WI 54301-4096
(920) 435-9511
(920) 435-9383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38575200
—
WI
01
—
752560001
DMERC
WI
Enumeration date
01/25/2006
Last updated
09/16/2010
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