Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KERRY LEE GRIEBENOW, O.D.
ActiveDR. KERRY LEE GRIEBENOW, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in NEW LONDON, Wisconsin. NPI 1063487072 is currently active in the NPPES registry. Verify at CMS.
Corneal & Contact Management Optometrist · NEW LONDON, WI
Registration Details
- NPI Number
- 1063487072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2006 (20.49873941373 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1666 (WI)
Practice Information
- Address
-
105 NORTHRIDGE DRNEW LONDON, WI, 549612703Browse WI providers · Browse ZIP 54961
- Phone
- 9209823711
- Fax
- 9209823009
- Primary Specialty
-
Corneal & Contact Management Optometrist
152WC0802X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.