Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THIRD COAST RETINA S.C.
Active OrganizationTHIRD COAST RETINA S.C. is a Sports Medicine (Emergency) organization located in KENOSHA, Wisconsin. NPI 1831823921 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · KENOSHA, WI
Registration Details
- NPI Number
- 1831823921
- Provider Type
- Organization
- NPI Issued
- Jul 13, 2022 (4.1229087338642 yrs)
- Last Updated
- Aug 10, 2022
Practice Information
- Address
-
5017 GREEN BAY RD STE 148KENOSHA, WI, 531441782Browse WI providers · Browse ZIP 53144
- Phone
- 2624205888
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.