Organization
EYE & VISION CLINICS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER POTTS (CLINIC MANAGER)
(920) 336-7700
Entity
Organization
Contact information
Practice address
301 N BROADWAY, DE PERE, WI 54115-2557
(920) 336-7700
(920) 338-1799
Mailing address
301 N BROADWAY, DE PERE, WI 54115-2557
(920) 336-7700
(920) 338-1799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1428
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003927278
NPI FOR DAVID DUFECK
WI
01
—
1194812099
NPI FOR MATTHEW L NELSON
WI
Enumeration date
03/26/2007
Last updated
03/20/2015
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