Provider Demographics
NPI:1437842028
Name:MOUNT PLEASANT EYE CARE LLC
Entity Type:Organization
Organization Name:MOUNT PLEASANT EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:815-541-6161
Mailing Address - Street 1:13330 WASHINGTON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53177-1297
Mailing Address - Country:US
Mailing Address - Phone:262-267-8161
Mailing Address - Fax:262-267-8162
Practice Address - Street 1:13330 WASHINGTON AVE STE 300
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53177-1297
Practice Address - Country:US
Practice Address - Phone:262-267-8161
Practice Address - Fax:262-267-8162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty