Eye Clinic Of Waukesha Llc

NPI 1013165729 - Optometrist - 152W00000X

NPI Details
NPI 1013165729
Enumeration Date 09/05/2008
Last Updated 01/15/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GENNI GENNI
Position OWNER
Phone (262) 549-2020
Fax (262) 522-8117
Practice Location
2426 N GRANDVIEW BLVD
SUITE D
WAUKESHA WI, 53188-6905, US
Phone (262) 549-2020
Fax (262) 522-8117
Business Location
2426 N GRANDVIEW BLVD
SUITE D
WAUKESHA WI, 53188-6905, US
Phone (262) 549-2020
Fax (262) 522-8117
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 2999
Remove 1013165729 NPI Number
 

According to our database, Eye Clinic Of Waukesha Llc NPI is 1013165729, taxonomy code is 152W00000X and license number is 2999, license state is located at Wisconsin. Eye Clinic Of Waukesha Llc physically located at 2426 N Grandview Blvd, Waukesha WI, 53188-6905. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1013165729 NPI number is provided on an as is basis without warranty of any kind. 1013165729 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Clinic Of Waukesha Llc are for informational purposes only.