Provider Demographics
NPI:1609330505
Name:INSIGHT EYE CARE, LLC
Entity Type:Organization
Organization Name:INSIGHT EYE CARE, LLC
Other - Org Name:APPLETON EYE CLINIC, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-235-5530
Mailing Address - Street 1:251 N SAWYER ST
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54902-4251
Mailing Address - Country:US
Mailing Address - Phone:920-235-5530
Mailing Address - Fax:
Practice Address - Street 1:509 CHAIN DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-1437
Practice Address - Country:US
Practice Address - Phone:920-235-5530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty