Provider Demographics
NPI:1831169648
Name:BEHLING FAMILY EYECARE, S.C.
Entity type:Organization
Organization Name:BEHLING FAMILY EYECARE, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARTLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEHLING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:920-459-8814
Mailing Address - Street 1:122 MENOMINEE DR
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53085-1829
Mailing Address - Country:US
Mailing Address - Phone:920-467-2090
Mailing Address - Fax:
Practice Address - Street 1:609 S TAYLOR DR
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-4206
Practice Address - Country:US
Practice Address - Phone:920-459-8814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2584152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty