Community Eyecare Inc
LBN: Community Eyecare Inc
Community Eyecare Inc is an health care organization with primary practice located at 950 W Ryan St Suite A, Brillion WI 54110. The organization recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Community Eyecare Inc can be contacted via phone (920) 756-2020, or through Burgess, Charles J via phone (920) 722-6872.
Contact Information
Primary practice address
950 W Ryan St Suite A
Brillion WI 54110
Phone: (920) 756-2020
Fax: (920) 756-2000
Website:
Authorized official contact:
Name: Burgess, Charles J Doctor of Optometry (OD)
Phone: (920) 722-6872
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2676 | Wisconsin |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2869 | Wisconsin |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2676 | Wisconsin |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2869 | Wisconsin |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 2676 | Wisconsin |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2676 | Wisconsin |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2869 | Wisconsin |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 2676 | Wisconsin |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 2869 | Wisconsin |
Profile Details
| NPI number | 1548457757 |
|---|---|
| LBN Legal business name | Community Eyecare Inc |
| DBA Doing business as | Community Eyecare Inc |
| Authorized official | Burgess, Charles J Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | May 15th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548457757 | NPPES |
| Wisconsin | MEDICAID | 38601700 |
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