Provider Demographics
NPI:1447312236
Name:PAUL B WEBB VISION LLC
Entity type:Organization
Organization Name:PAUL B WEBB VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:312-841-7720
Mailing Address - Street 1:4709 TOEPFER RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-4160
Mailing Address - Country:US
Mailing Address - Phone:608-356-6276
Mailing Address - Fax:866-318-0547
Practice Address - Street 1:920 STATE ROAD 136
Practice Address - Street 2:
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913-9254
Practice Address - Country:US
Practice Address - Phone:608-356-6276
Practice Address - Fax:866-318-0547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3058-035152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty