Eye Surgery & Laser Center Of Wisconsin Llc

LBN: Eye Surgery & Laser Center Of Wisconsin Llc
Eye Surgery & Laser Center Of Wisconsin Llc is an health care organization with primary practice located at 10200 W Innovation Dr Suite 700, Milwaukee WI 53226-4825. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Eye Surgery & Laser Center Of Wisconsin Llc can be contacted via phone (414) 302-9196, or through Gunnelson, Kelly via phone (414) 773-4662.

Contact Information

Primary practice address
10200 W Innovation Dr Suite 700 Milwaukee WI 53226-4825
Phone: (414) 302-9196
Fax: (414) 773-4666
Website:
Map and Directions
Authorized official contact:
Name: Gunnelson, Kelly RN, CASC
Phone: (414) 773-4662

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X Wisconsin

Profile Details

NPI number 1568445062
LBN Legal business name Eye Surgery & Laser Center Of Wisconsin Llc
DBA Doing business as
Authorized official Gunnelson, Kelly RN, CASC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 21st, 2022 - about 2 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 1568445062 NPPES
Wisconsin MEDICAID 41910800

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