Provider Demographics
NPI:1235352667
Name:LINDMAN EYE CARE LLC
Entity Type:Organization
Organization Name:LINDMAN EYE CARE LLC
Other - Org Name:LINDMAN EYE CARE, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:920-458-3312
Mailing Address - Street 1:2644 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53083-4921
Mailing Address - Country:US
Mailing Address - Phone:920-458-3312
Mailing Address - Fax:920-458-6827
Practice Address - Street 1:2644 N 8TH ST
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53083-4921
Practice Address - Country:US
Practice Address - Phone:920-458-3312
Practice Address - Fax:920-458-6827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIWI2631152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38595600Medicaid
WIU56889Medicare UPIN
WI1243740001Medicare NSC
WI47395Medicare ID - Type UnspecifiedSHEBOYGAN FALLS FACILITY
WI38595600Medicaid
WI47178Medicare ID - Type UnspecifiedSHEBOYGAN FACILITY
WI1243740002Medicare NSC