| Organization Name: | MILWAUKEE EYE CARE ASSOCIATES S.C. |
| NPI Number: | 1013133065 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KANG B YANG (ADMINISTRATIVE ASSISTANT) |
| Mailing Address: | 500 W Brown Deer Rd Suite 110 Bayside |
| State: | WI US |
| Postal Code: | 532171618 |
| Phone Number: | 4142712020 |
| Fax Number: | 4143528191 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |