Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Wisconsin Retina Associates SC

Organization Retina Specialist (Ophthalmology) Physician · NPI 1437164175

Northeast Wisconsin Retina Associates SC provides Retina Specialist (Ophthalmology) Physician services in Appleton, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

442 N Westhill Blvd Ste A
Appleton, WI 54914-5830
Phone: (920) 751-8666
Fax: (920) 751-0288
Show map & directions

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

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X

Record details

NPI number1437164175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Debruin — Billing Department Manager · (920) 751-8666
NPI enumeratedJuly 30, 2006
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address442 N Westhill Blvd Ste A, Appleton, WI 54914-5830

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