Family Eye Care Of Lake Geneva, S.C.
Optometrist in Lake Geneva, WI. Organization (NPI-2).
NPI number1144463571
StatusActive
Last updated in NPPESSep 14, 2022
Details
- NPI
- 1144463571
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Eye Care Of Lake Geneva, S.C.
- Organization subpart
- No
- Enumeration date
- Apr 15, 2009
- Certification date
- Sep 14, 2022
- Last updated
- Sep 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3133-035 | WI | Yes |
Practice location
835 Geneva Pkwy N Ste 3Lake Geneva, WI 53147-5700
Phone 262-248-4878 · Fax 262-248-1100
Mailing address
835 Geneva Pkwy N Ste 3Lake Geneva, WI 53147-5700
Phone 262-248-4878 · Fax 262-248-1100
Authorized official
Jessica Dixon Heinke
President
2622484878
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Other Optometrist providers in Lake Geneva, WI
- Advanced Eyecare & Contact Lens Center, LLCNPI 1780848523
- Inger L Gibson, ODNPI 1386637007
- Ladd F. Koresch O.D., S.C.NPI 1104029867
- Vision & Eye Health AssociatesNPI 1487704128
All 5 Optometrist providers in Lake Geneva · All 454 providers in Lake Geneva
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