Community Eyecare INC

NPI #1528333788 in Black Creek, Wisconsin

Provider Information

NPI Number: 1528333788
Entity Type: Organization
Organization Name: Community Eyecare INC
Primary Specialty: Optometrist
Enumeration Date: Mar 20, 2012
Last Updated: Mar 20, 2012

Practice Location

Address: 413 S MAIN ST
City: Black Creek
State: Wisconsin
ZIP Code: 54106-9501
Phone: (920) 722-6872

Authorized Official

Name: MRS. GWEN E SCHREIBER
Title: MANAGER
Phone: (920) 722-6872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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