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

Eye Clinic of Wisconsin, SC

Organization Ophthalmology Physician · NPI 1740264266

Eye Clinic of Wisconsin, SC is an Ophthalmology Physician in Antigo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005

Practice location Address checks out

109 State Hwy 64
Antigo, WI 54409
Phone: (715) 623-6662
Fax: (715) 623-2400
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X (WI)

Record details

NPI number1740264266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Goddard — Coo · (715) 261-8557
NPI enumeratedNovember 30, 2005
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address800 N First St, Wausau, WI 54403-4754