OrganizationActive
Eyewear Specialists, Inc
NPI 1053359992 · Eyewear Supplier · Appleton, WI
Provider details
- NPI number
- 1053359992
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Michelle Staeven-Coates, Business Manager(920) 734-8714
Specialties & taxonomies
Suppliers
Practice location
1301 E Northland Ave
Ste a
Appleton, WI 54911-8426
Phone: (920) 734-8714
Fax: (920) 734-8785
Approximate (ZIP-level) locationGet directions
Mailing address
1301 E Northland Ave
Appleton, WI 54911-8426
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2009-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.