NPI 1558081000 · live from the CMS NPI Registry
Eye Clinic Of Wisconsin Sc
Ophthalmology in Marshfield, WI. National Provider Identifier 1558081000, active.
NPI record
| NPI | 1558081000 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 409 N Chestnut Ave, Marshfield, WI 54449 |
| Practice phone | 715-261-8557 |
| Mailing address | 800 N 1st St, Wausau, WI 54403 |
| Enumerated | September 2, 2022 |
| Last updated | September 14, 2022 |
| Authorized official | Kimberly Goddard, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.