Healthcare Provider Details

I. General information

NPI: 1851281943
Provider Name (Legal Business Name): ALEC M COMPTON OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 MILWAUKEE DR
NEW HOLSTEIN WI
53061-1430
US

IV. Provider business mailing address

1405 MILWAUKEE DR
NEW HOLSTEIN WI
53061-1430
US

V. Phone/Fax

Practice location:
  • Phone: 920-898-5531
  • Fax:
Mailing address:
  • Phone: 920-898-5531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number413335
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: