Cardinal Family Eye Care Llc

NPI 1083808802 - Optometrist - 152W00000X

NPI Details
NPI 1083808802
Enumeration Date 09/05/2007
Last Updated 02/21/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JACOB B JACOB
Position MANAGING PARTNER
Phone (715) 669-5631
Fax (715) 669-5353
Practice Location
102 E STANLEY ST
THORP WI, 54771-9649, US
Phone (715) 669-5631
Fax (715) 669-5353
Business Location
102 E STANLEY ST
PO BOX 468
THORP WI, 54771-9649, US
Phone (715) 669-5631
Fax (715) 669-5353
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 3083-035
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According to our database, Cardinal Family Eye Care Llc NPI is 1083808802, taxonomy code is 152W00000X and license number is 3083-035, license state is located at Wisconsin. Cardinal Family Eye Care Llc physically located at 102 E Stanley St, Thorp WI, 54771-9649. NPI Number 1033115704 has the healthcare provider type.

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1083808802 NPI number is provided on an as is basis without warranty of any kind. 1083808802 is maintained by the National Plan & Provider Enumeration System. The contents of Cardinal Family Eye Care Llc are for informational purposes only.