OrganizationActive
Advanced Healthcare, S.c.
NPI 1629153101 · Eyewear Supplier · Port Washington, WI
Provider details
- NPI number
- 1629153101
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Eugene Monroe, President(414) 352-3100
Specialties & taxonomies
Suppliers
Suppliers
Practice location
1777 W Grand Ave
Port Washington, WI 53074-2077
Phone: (262) 284-3456
Approximate (ZIP-level) locationGet directions
Mailing address
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2008-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.