Chippewa Valley Eye Clinic Ltd

LBN: Chippewa Valley Eye Clinic Ltd
Chippewa Valley Eye Clinic Ltd is an health care organization with primary practice located at 2715 Damon St , Eau Claire WI 54701-2634. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Chippewa Valley Eye Clinic Ltd can be contacted via phone (715) 834-8471, or through Sipple, Kathy M via phone (715) 552-9337.

Contact Information

Primary practice address
2715 Damon St Eau Claire WI 54701-2634
Fax: (715) 834-0373
Website:
Authorized official contact:
Name: Sipple, Kathy M

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Wisconsin
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Wisconsin

Profile Details

NPI number 1306838487
LBN Legal business name Chippewa Valley Eye Clinic Ltd
DBA Doing business as
Authorized official Sipple, Kathy M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 18th, 2024 - about 5 months 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 1306838487 NPPES
Wisconsin MEDICAID 32671200
Wisconsin MEDICAID 38721500

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