| |
8243 Jackson St, Pittsville, WI 54466-9527 | |
(715) 884-2030 | |
(715) 884-2509 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 8243 Jackson St, Pittsville, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548445042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2771 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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8243 Jackson St, Pittsville, WI 54466-9527 Ph: (715) 884-2030 | 8243 Jackson St, Pittsville, WI 54466-9527 Ph: (715) 884-2030 |