Leach Eye Care

NPI 1295923977 - Optometrist - 152W00000X

NPI Details
NPI 1295923977
Enumeration Date 10/09/2007
Last Updated 10/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHI LYNN KATHI
Position OWNER
Phone (715) 693-2400
Fax (715) 693-4699
Practice Location
412 3RD ST
MOSINEE WI, 54455-1425, US
Phone (715) 693-2400
Fax (715) 693-4699
Business Location
PO BOX 239
MOSINEE WI, 54455-0239, US
Phone (715) 693-2400
Fax (715) 693-4699
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 1677-035
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According to our database, Leach Eye Care NPI is 1295923977, taxonomy code is 152W00000X and license number is 1677-035, license state is located at Wisconsin. Leach Eye Care physically located at 412 3rd St, Mosinee WI, 54455-1425. NPI Number 1033115704 has the healthcare provider type.

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1295923977 NPI number is provided on an as is basis without warranty of any kind. 1295923977 is maintained by the National Plan & Provider Enumeration System. The contents of Leach Eye Care are for informational purposes only.