Provider Demographics
NPI:1669510244
Name:EYE CARE VISION CENTERS
Entity Type:Organization
Organization Name:EYE CARE VISION CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEBLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:414-527-1697
Mailing Address - Street 1:8201 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-1948
Mailing Address - Country:US
Mailing Address - Phone:414-527-1697
Mailing Address - Fax:414-527-0681
Practice Address - Street 1:8201 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-1948
Practice Address - Country:US
Practice Address - Phone:414-527-1697
Practice Address - Fax:414-527-0681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty