Organization · NPI-2
Tower Clock Eye Center Sc
Eyewear Supplier (Equipment, not the service) · Shawano, WI
NPI number1578022588
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1578022588
- Entity type
- Organization (NPI-2)
- Legal business name
- Tower Clock Eye Center Sc
- Organization subpart
- No
- Enumeration date
- Mar 19, 2019
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
229 E Green Bay StShawano, WI 54166-2482
Phone 920-499-3102 · Fax 920-499-9636
Mailing address
1087 W Mason StGreen Bay, WI 54303-1859
Phone 920-499-3102 · Fax 920-499-9636
Authorized official
Danielle Jorgensen
Practice Administrator
9205935724
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