NPI 1255510095

Solberg Eye Care Sc

Organisation Preferred Provider Organization Waukesha, WI

Practice location

Address: S30w24896 Sunset Dr Suite 105, Waukesha, WI 53189-7021
Phone: (262) 542-5295

Authorised official

Name: Shane a Solberg
Title: Owner
Phone: (262) 542-5295

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2334 (WI)

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Registry record

NPI: 1255510095
Entity type: Organization
NPI issued: 29 Oct 2007
Record last updated: 29 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.