Bryce Alexandra Lewellen, O.D.

Optometrist · Two Rivers, WI

Individual Active NPI

NPI number 1093167074

Practice location

5300 Memorial Dr
Two Rivers, WI 54241-3923
Phone
(920) 793-7515
Fax
(920) 793-7516

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NPI record

NPI
1093167074
Entity type
Individual (Type 1)
Enumeration date
July 1, 2016
Last updated
October 2, 2023
Certified
October 2, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 3647 WI

Mailing address

PO Box 735044
Chicago, IL 60673-5044

About Dr. Lewellen

Bryce Alexandra Lewellen, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 5300 Memorial Dr, Two Rivers, WI 54241-3923. The NPI number 1093167074 was assigned on July 1, 2016 and the record was last updated on October 2, 2023.

Dr. Lewellen lists a license in the registry: #3647 (WI) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryce Alexandra Lewellen, O.D.?

The NPI number is 1093167074.

What is the phone number of Dr. Lewellen?

The phone number listed for the practice location is (920) 793-7515.

Where is Dr. Lewellen located?

5300 Memorial Dr, Two Rivers, WI 54241-3923.

What is the taxonomy code for Dr. Lewellen?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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