Organization
COMMUNITY EYECARE CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L. BYERS O.D. (PRESIDENT)
(715) 258-2020
Entity
Organization
Contact information
Practice address
222 S WASHINGTON ST, WAUPACA, WI 54981-1531
(715) 258-2020
(715) 258-9301
Mailing address
222 S WASHINGTON ST, WAUPACA, WI 54981-1531
(715) 258-2020
(715) 258-9301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2492
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110001714
WEA
WI
05
—
38727200
—
WI
Enumeration date
03/22/2007
Last updated
04/23/2012
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