Healthcare Provider Details
I. General information
NPI: 1861397945
Provider Name (Legal Business Name): MERRILL FAMILY EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1007 E 1ST ST
MERRILL WI
54452-2511
US
IV. Provider business mailing address
1007 E 1ST ST
MERRILL WI
54452-2511
US
V. Phone/Fax
- Phone: 715-536-2020
- Fax: 715-722-0411
- Phone: 715-536-2020
- Fax: 715-722-0411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ELIZABETH
SANDERS
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 715-536-2020