OrganizationActive
Advanced Eyecare Center, LLC
NPI 1174552376 · Optometrist · Green Bay, WI
Provider details
- NPI number
- 1174552376
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Candice Madaski, Billing/Credentialing Mngr(920) 336-2020
- License
- 2070 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
3237 Riverside Dr Ste a
Green Bay, WI 54301-1643
Phone: (920) 336-2020
Fax: (920) 336-2709
Approximate (ZIP-level) locationGet directions
Mailing address
3237 Riverside Dr Ste a
Green Bay, WI 54301-1643
Other names (DBA / former)
- Doing business as
- Advanced Eyecare Center
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.