NPI 1932284296 · live from the CMS NPI Registry
Eugene John Eldridge, M.D.
Ophthalmology in Kenosha, WI. National Provider Identifier 1932284296, active.
NPI record
| NPI | 1932284296 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1400 75th St, Suite 3, Kenosha, WI 53143 |
| Practice phone | 262-652-9500 |
| Enumerated | October 26, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 25921 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.