Eyecare Services, LLC

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

2653 Issued in WI

Legal business name

EYECARE SERVICES, LLC

Practice address

3400 North 10TH St #73
Menominee, MI 49858

Phone

(920) 213-9237

NPI assigned

May 13, 2015

Last updated

May 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Buege

Title

Manager

Phone

(920) 213-9237

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1740668565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9965 HUDSON PLACE, SUITE 660",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "920-213-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NORTH 10TH ST #73",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "49858",
            "telephone_number": "920-213-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "BUEGE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-213-9237"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WI",
            "license": "2653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee L Dietrich
• Alyssa Lynn Eland
• Britta Jo Elliot
• Cassandra Emmer
• Barbara Ann Erdman, RN
• Family Foot Clinic P.C.
• Joanne Claire Furton, PTA
• Gilbert E Garcia, M.S.W,A.C.S.W, LCSW
• Lynnette Marie Geib
• Mary Genisot

• Voluntary or Charitable Agency in Menominee, MI
• Providers in Menominee, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.