Eye Care Professionals Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE PROFESSIONALS INC

Practice address

535 South Monroe Ave
Green Bay, WI 54301-4096

Phone

(920) 435-9511

Fax

(920) 435-9383

NPI assigned

Jan 25, 2006

Last updated

Sep 16, 2010By 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

Ms. Catherine Marie Taylor Webb

Title

Office Manager

Phone

(920) 435-9511

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1881664662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SOUTH MONROE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014096",
            "telephone_number": "920-435-9511",
            "fax_number": "920-435-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SOUTH MONROE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014096",
            "telephone_number": "920-435-9511",
            "fax_number": "920-435-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR WEBB",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-435-9511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38575200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "752560001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith H Everson, APNP
• Rudolph Francis Evonich III, M.D.
• Judy A Exl, MSW
• Eye Associates of Green Bay, SC
• Eye Care for You, SC
• Eye See, LLC
• Meghan Callaghan Eytcheson, CCC-SLP
• Chinenye Vivian Ezembamalu, NP
• Allen E Faber, CRNA
• Mikaila Fager, MS, SLP-CCC

• Optometrist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.