Ophthalmology Associates S C

LBN: Ophthalmology Associates S C
Ophthalmology Associates S C is an health care organization with primary practice located at 6020 S Packard Ave , Cudahy WI 53110-3028. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Ophthalmology Associates S C can be contacted via phone (414) 294-4660, or through Graves, Glenn E via phone (414) 294-4660.

Contact Information

Primary practice address
6020 S Packard Ave Cudahy WI 53110-3028
Phone: (414) 294-4660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graves, Glenn E Doctor of Medicine (MD)
Phone: (414) 294-4660

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1063557890
LBN Legal business name Ophthalmology Associates S C
DBA Doing business as
Authorized official Graves, Glenn E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Apr 23rd, 2024 - about last year

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 1063557890 NPPES
Wisconsin MEDICAID 32758700
Wisconsin Other CO1849

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