NPI 1740264266 · live from the CMS NPI Registry
Eye Clinic Of Wisconsin, S.C.
Ophthalmology in Antigo, WI. National Provider Identifier 1740264266, active.
NPI record
| NPI | 1740264266 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 109 State Hwy 64, Antigo, WI 54409 |
| Practice phone | 715-623-6662 |
| Mailing address | 800 N First St, Wausau, WI 54403 |
| Enumerated | November 30, 2005 |
| Last updated | January 21, 2025 |
| Authorized official | Kimberly Goddard, Coo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | — (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.