Olson Eye Care Llc

NPI 1215119789 - Optometrist - 152W00000X

NPI Details
NPI 1215119789
Enumeration Date 11/27/2007
Last Updated 05/28/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANGIE E ANGIE
Position OPTOMETRIST
Phone (920) 324-3501
Fax (920) 324-3380
Practice Location
537 E MAIN ST
WAUPUN WI, 53963-2162, US
Phone (920) 324-3501
Fax (920) 324-3380
Business Location
537 E MAIN ST
PO BOX 350
WAUPUN WI, 53963-2162, US
Phone (920) 324-3501
Fax (920) 324-3380
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number WI 2773
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According to our database, Olson Eye Care Llc NPI is 1215119789, taxonomy code is 152W00000X and license number is WI 2773, license state is located at Wisconsin. Olson Eye Care Llc physically located at 537 E Main St, Waupun WI, 53963-2162. NPI Number 1033115704 has the healthcare provider type.

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1215119789 NPI number is provided on an as is basis without warranty of any kind. 1215119789 is maintained by the National Plan & Provider Enumeration System. The contents of Olson Eye Care Llc are for informational purposes only.