Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eye Clinic of Manitowoc, SC

Organization Optometrist · NPI 1437144417

Eye Clinic of Manitowoc, SC is an Optometrist in Manitowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
Specialties on file
3

Practice location Address checks out

4801 Expo Dr
Manitowoc, WI 54220-9341
Phone: (920) 684-4429
Fax: (920) 684-6892
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X (WI)
Optometrist Taxonomy 152W00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1437144417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Lewellen — Ophthalmologist/Vice President · (920) 684-4429
NPI enumeratedSeptember 15, 2005
Last updated in NPPESNovember 19, 2009
Mailing addressPo Box 1900, Manitowoc, WI 54221-1900

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