| Organization Name: | MEDICAL EYE CLINIC OF EAU CLAIRE |
| NPI Number: | 1073710968 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROY A OLSON (OWNER) |
| Mailing Address: | 2715 Damon St Suite 200 Eau Claire |
| State: | WI US |
| Postal Code: | 547012634 |
| Phone Number: | 7158345644 |
| Fax Number: | 7158345674 |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 04/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 17337 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |