Provider Demographics
NPI:1689893273
Name:BINDER, SUE C (BCO)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:C
Last Name:BINDER
Suffix:
Gender:F
Credentials:BCO
Other - Prefix:
Other - First Name:SUE
Other - Middle Name:C
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCO
Mailing Address - Street 1:4606 COMMERCE VALLEY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-7074
Mailing Address - Country:US
Mailing Address - Phone:715-833-2277
Mailing Address - Fax:715-833-2295
Practice Address - Street 1:4606 COMMERCE VALLEY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-7074
Practice Address - Country:US
Practice Address - Phone:715-833-2277
Practice Address - Fax:715-833-2295
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38460000Medicaid