| |
1509 Ihm St, Lancaster, WI 53813-9458 | |
(608) 723-2020 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1509 Ihm St, Lancaster, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962974485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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1400 Eastside Rd, Platteville, WI 53818-9800 Ph: (608) 348-2331 | 1509 Ihm St, Lancaster, WI 53813-9458 Ph: (608) 723-2020 |