NPI 1659645380 · live from the CMS NPI Registry
Baycare Clinic, Llp
Ophthalmology in Sturgeon Bay, WI. National Provider Identifier 1659645380, active.
NPI record
| NPI | 1659645380 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 30 N 18th Ave, Sturgeon Bay, WI 54235 |
| Practice phone | 920-743-9532 |
| Mailing address | Po Box 28900, Green Bay, WI 54324 |
| Enumerated | February 27, 2012 |
| Last updated | August 27, 2026 |
| Authorized official | Taylor Konkle, Payor Enrollment |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — (WI) |
| Ophthalmology primary | 207W00000X | — (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.