OrganizationActive
Lake Country Eye Surgery Center, LLC
NPI 1770458754 · Ambulatory Surgical Clinic/Center · Waukesha, WI
Provider details
- NPI number
- 1770458754
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Mccarville, Administrator(417) 889-2040
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
N19w23993 Ridgeview Pkwy W
Waukesha, WI 53188-1030
Phone: (417) 889-2040
Approximate (ZIP-level) locationGet directions
Mailing address
N19w23993 Ridgeview Pkwy W
Waukesha, WI 53188-1030
Registry dates
- Enumerated
- 2025-10-08
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.