Provider Demographics
NPI:1780929836
Name:WEBER EYE CARE, LLC
Entity type:Organization
Organization Name:WEBER EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:920-748-1497
Mailing Address - Street 1:1081B W FOND DU LAC ST
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:WI
Mailing Address - Zip Code:54971-9260
Mailing Address - Country:US
Mailing Address - Phone:920-748-1497
Mailing Address - Fax:920-748-1492
Practice Address - Street 1:1081B W FOND DU LAC ST
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:WI
Practice Address - Zip Code:54971-9260
Practice Address - Country:US
Practice Address - Phone:920-748-1497
Practice Address - Fax:920-748-1492
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEBER EYE CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-30
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty