Barnett Wamboldt Eyecare, Sc

LBN: Barnett Wamboldt Eyecare, Sc
Barnett Wamboldt Eyecare, Sc is an health care organization with primary practice located at 6116-39 Ave , Kenosha WI 53142. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Barnett Wamboldt Eyecare, Sc can be contacted via phone (262) 653-0100, or through Barnett-Wamboldt, Debra Jeanne via phone (262) 697-3665.

Contact Information

Primary practice address
6116-39 Ave Kenosha WI 53142
Phone: (262) 653-0100
Fax: (262) 653-0200
Website:
Map and Directions
Authorized official contact:
Name: Barnett-Wamboldt, Debra Jeanne Doctor of Optometry (OD)
Phone: (262) 697-3665

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 2407-035 Wisconsin

Profile Details

NPI number 1497905129
LBN Legal business name Barnett Wamboldt Eyecare, Sc
DBA Doing business as
Authorized official Barnett-Wamboldt, Debra Jeanne Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2008
Last updated Jan 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497905129 NPPES
Wisconsin MEDICAID 38585300

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