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General NPI Number Information
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NPI Number | 1013133065
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Entity Type | Organization
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Legal Business Name | MILWAUKEE EYE CARE ASSOCIATES S.C.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 1684 N PROSPECT AVE
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City | MILWAUKEE
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State | WI
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Zip | 53202-2408
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Country | US
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Telephone | 414-271-2020
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Fax | 414-272-3932
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Provider Business Mailing Address
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Address Line | 1684 N PROSPECT AVE
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City | MILWAUKEE
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State | WI
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Zip | 53202-2408
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Country | US
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Telephone | 414-271-2020
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Fax | 414-272-3932
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Authorized Official
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Title or Position | HR MANAGER & PROVIDER CREDENTIALING
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Name | MISS KANG B YANG
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Credential |
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Telephone | 414-977-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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