| Organization Name: | EYECARE SERVICES, LLC |
| NPI Number: | 1740668565 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRACY BUEGE (MANAGER) |
| Mailing Address: | 3400 North 10th St #73 Menominee |
| State: | MI US |
| Postal Code: | 49858 |
| Phone Number: | 9202139237 |
| Fax Number: | |
| NPI Enumeration Date: | 05/13/2015 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | 2653 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |