Optical Dept. Of Eye Clinic Of Racine, Ltd.

LBN: Optical Dept. Of Eye Clinic Of Racine, Ltd.
Optical Dept. Of Eye Clinic Of Racine, Ltd. is an health care organization with primary practice located at 3805A Spring St Suite 111, Racine WI 53405-1600. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Optical Dept. Of Eye Clinic Of Racine, Ltd. can be contacted via phone (262) 637-9615, or through Sawasky, Joyce L via phone (262) 637-9615.

Contact Information

Primary practice address
3805A Spring St Suite 111 Racine WI 53405-1600
Phone: (262) 637-9615
Fax: (262) 637-4437
Website:
Map and Directions
Authorized official contact:
Name: Sawasky, Joyce L
Phone: (262) 637-9615

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1629049150
LBN Legal business name Optical Dept. Of Eye Clinic Of Racine, Ltd.
DBA Doing business as
Authorized official Sawasky, Joyce L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Aug 22nd, 2020 - about 5 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 1629049150 NPPES
Wisconsin MEDICAID 38436400

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