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Dr. Kerry Lee Griebenow, OD
Corneal and Contact Management Optometrist in New London, Wisconsin
NPI 1063487072

Kerry Lee Griebenow is a Corneal and Contact Management Optometrist based in New London, WI and is specialized in Corneal and Contact Management. Kerry Lee Griebenow practices in New London, WI and has the professional credentials of OD. The NPI Number for Kerry Lee Griebenow is 1063487072 and holds a License No. 1666 (Wisconsin).

The current practice location address for Kerry Lee Griebenow is 105 Northridge Dr, New London, WI and can be reached out via phone at 920-982-3711 and via fax at 920-982-3009.

Location: 105 Northridge Dr, New London, WI, 54961-2703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063487072
Provider Name
Kerry Lee Griebenow
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
105 Northridge Dr, New London, WI, 54961-2703
Phone Number
920-982-3711
Fax Number
920-982-3009
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38510500 05 WI
institution
Provider Business Practice Location Address Details
Address
105 Northridge Dr
City
New London
State
Wisconsin
Zip
54961-2703
Phone Number
920-982-3711
Fax Number
920-982-3009
person
Provider Business Mailing Address Details
Address
105 Northridge Dr
City
New London
State
Wisconsin
Zip
54961-2703
Phone Number
920-982-3711
Fax Number
920-982-3009
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Corneal and Contact Management
Taxonomy
152WC0802X
License No.
1666 (Wisconsin)
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
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