NPI 1699974980 · live from the CMS NPI Registry
Eye Associates Of Green Bay, Sc
Ophthalmology in Green Bay, WI. National Provider Identifier 1699974980, active.
NPI record
| NPI | 1699974980 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2020 Riverside Dr Ste 201, Green Bay, WI 54301 |
| Practice phone | 920-965-7000 |
| Enumerated | July 16, 2007 |
| Last updated | May 29, 2020 |
| Authorized official | Sally Jilot, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.