ADVANCED EYECARE CENTER – NPI #1174552376
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

ADVANCED EYECARE CENTER is an optometrist located in GREEN BAY, WI. NPPES has assigned the NPI number 1174552376 to ADVANCED EYECARE CENTER on July 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED EYECARE CENTER” is a dba name, the actual legal business name for this organization is ADVANCED EYECARE CENTER, LLC. The primary taxonomy selected by this provider is 152W00000X from the Health Care Provider Taxonomy code set, which is classified as Optometrist.

The NPI profile was previously updated about 6 years ago on Dec 03, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED EYECARE CENTER below.

NPI Profile for
ADVANCED EYECARE CENTER, LLC

NPI Number
1174552376
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED EYECARE CENTER, LLC
Doing Business As (dba): ADVANCED EYECARE CENTER
Primary location
3237 RIVERSIDE DR STE A
GREEN BAY, WI 54301-1643
Phone: (920) 336-2020 Fax: (920) 336-2709
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CANDICE MADASKI
BILLING/CREDENTIALING MNGR
Phone: (920) 336-2020
Updated
Certification Date
Dec 03, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152W00000X
- Optometrist (Primary)
WI 2070

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.