NPI 1730559014 · live from the CMS NPI Registry
Baycare Clinic, Llp
Ophthalmology in Marinette, WI. National Provider Identifier 1730559014, active.
NPI record
| NPI | 1730559014 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1400 University Dr, Suite 101, Marinette, WI 54143 |
| Practice phone | 715-732-4181 |
| Mailing address | Po Box 28900, Green Bay, WI 54324 |
| Enumerated | September 30, 2015 |
| Last updated | August 27, 2026 |
| Authorized official | Taylor Konkle, Payor Enrollment |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 35480 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.