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Lakeshore Vision Centers, Ltd
Clinic/Center in Algoma, Wisconsin
NPI 1780734418

Lakeshore Vision Centers, Ltd is a Clinic/Center based in Algoma, WI. Lakeshore Vision Centers, Ltd practices in Algoma, WI. The NPI Number for Lakeshore Vision Centers, Ltd is 1780734418 and holds a License No. (Wisconsin).

The current practice location address for Lakeshore Vision Centers, Ltd is 1021 Jefferson St., Algoma, WI and can be reached out via phone at 920-487-2020 and via fax at 920-487-5022.

Location: 1021 Jefferson St., Algoma, WI, 54201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780734418
Provider Name
Lakeshore Vision Centers, Ltd
Credential
Provider Entity Type
Organization
Address
1021 Jefferson St., Algoma, WI, 54201
Phone Number
920-487-2020
Fax Number
920-487-5022
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000047383 01 WI MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1021 Jefferson St.
City
Algoma
State
Wisconsin
Zip
54201
Phone Number
920-487-2020
Fax Number
920-487-5022
person
Provider Business Mailing Address Details
Address
1021 Jefferson St.
City
Algoma
State
Wisconsin
Zip
54201
Phone Number
920-487-2020
Fax Number
920-487-5022
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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