OrganizationActive
Advanced Eyecare & Contact Lens Center, LLC
NPI 1780848523 · Optometrist · Lake Geneva, WI
Provider details
- NPI number
- 1780848523
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Inger Gibson, Owner(262) 249-1000
- License
- 2495 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
154 E Geneva Sq
Lake Geneva, WI 53147-9694
Phone: (262) 249-1000
Fax: (262) 249-1255
Approximate (ZIP-level) locationGet directions
Mailing address
154 E Geneva Sq
Lake Geneva, WI 53147-9694
Registry dates
- Enumerated
- 2008-07-10
- Last updated
- 2008-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.