Provider Demographics
NPI:1871746115
Name:FAMILY EYE INC
Entity type:Organization
Organization Name:FAMILY EYE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SATTERLUND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:715-268-9010
Mailing Address - Street 1:120 KELLER AVE N
Mailing Address - Street 2:
Mailing Address - City:AMERY
Mailing Address - State:WI
Mailing Address - Zip Code:54001-1034
Mailing Address - Country:US
Mailing Address - Phone:715-268-9010
Mailing Address - Fax:715-268-5231
Practice Address - Street 1:120 KELLER AVE N
Practice Address - Street 2:
Practice Address - City:AMERY
Practice Address - State:WI
Practice Address - Zip Code:54001-1034
Practice Address - Country:US
Practice Address - Phone:715-268-9010
Practice Address - Fax:715-268-5231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2148-035152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI0798840001Medicare NSC