Provider Demographics
NPI:1740322908
Name:SATEREN EYE CARE, S.C.
Entity type:Organization
Organization Name:SATEREN EYE CARE, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAMILE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SATEREN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:715-682-4666
Mailing Address - Street 1:218 MAIN ST W
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-1606
Mailing Address - Country:US
Mailing Address - Phone:715-682-4666
Mailing Address - Fax:715-682-4984
Practice Address - Street 1:218 MAIN ST W
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-1606
Practice Address - Country:US
Practice Address - Phone:715-682-4666
Practice Address - Fax:715-682-4984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30125OtherAVESIS GROUP
WI38711200Medicaid
WI23J60SAOtherBCBS
WI30125OtherAVESIS GROUP
WI=========OtherHEALTHEOS
WI23J60SAOtherBCBS
WI=========012OtherCOMPCARE SERVICES
WI=========012OtherCOMPCARE SERVICES