NPIMap

Organization Active NPI

Eggert & Eggert LLC

Doing business as The Eyecare Place

  • Optometrist
  • Green Bay, WI
National Provider Identifier
1639189442
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2292 Issued in WI
Legal business name
EGGERT & EGGERT LLC
Doing business as
The Eyecare Place
Practice address
550 N Military Ave
Suite 10
Green Bay, WI 54303-4569
Phone
(920) 498-2020
Fax
(920) 498-2269
NPI assigned
Aug 8, 2006
Last updated
Jun 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven D Eggert, ODNPI 1588686935
Title
Owner, OD
Phone
(920) 686-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2292 WI Primary

Addresses

Primary practice location

550 N Military Ave
Suite 10
Green Bay, WI 54303-4569

Mailing address

550 N Military Ave
Suite 10
Green Bay, WI 54303-4569
Phone (920) 498-2020

Other names 1

  • The Eyecare Place Doing business as

National Provider Directory

National Provider Directory

Locations

4140 Harbor Town Ln
Manitowoc, WI 54220
Phone (920) 260-4205

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1639189442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MILITARY AVE",
            "address_2": "SUITE 10",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034569",
            "telephone_number": "920-498-2020",
            "fax_number": "920-498-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MILITARY AVE",
            "address_2": "SUITE 10",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034569",
            "telephone_number": "920-498-2020",
            "fax_number": "920-498-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGGERT & EGGERT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "EGGERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, OD",
        "authorized_official_telephone_number": "920-686-1000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eyecare Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.