Kristopher Knous Od Llc

LBN: Eye Clinic Of Waukesha Llc
Kristopher Knous Od Llc is an health care organization with primary practice located at 2426 N Grandview Blvd Suite D, Waukesha WI 53188-6905. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eye Clinic Of Waukesha Llc can be contacted via phone (262) 549-2020, or through Mahoney, Genni via phone (262) 549-2020.

Contact Information

Primary practice address
2426 N Grandview Blvd Suite D Waukesha WI 53188-6905
Phone: (262) 549-2020
Fax: (262) 522-8117
Website:
Map and Directions
Authorized official contact:
Name: Mahoney, Genni OPTICIAN
Phone: (262) 549-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2999 Wisconsin

Profile Details

NPI number 1013165729
LBN Legal business name Eye Clinic Of Waukesha Llc
DBA Doing business as Kristopher Knous Od Llc
Authorized official Mahoney, Genni OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2008
Last updated Jan 15th, 2010 - 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 1013165729 NPPES
Wisconsin Other 1356432199 PERSONAL NPI
Wisconsin Other 3946025 PERSONAL NPI
Wisconsin MEDICAID 38625000 PERSONAL NPI

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