Vita Park Eye Associates, Sc

NPI 1154418051 - Optometrist - 152W00000X

NPI Details
NPI 1154418051
Enumeration Date 10/10/2006
Last Updated 08/11/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS A THOMAS
Position CORPORATE OFFICER
Phone (920) 887-1151
Fax (920) 887-3353
Practice Location
705 S. UNIVERSITY AVE.
SUITE 100
BEAVER DAM WI, 53916, US
Phone (920) 887-1151
Fax (920) 887-3353
Business Location
705 S. UNIVERSITY AVE.
SUITE 100
BEAVER DAM WI, 53916, US
Phone (920) 887-1151
Fax (920) 887-3353
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Vita Park Eye Associates, Sc NPI is 1154418051, taxonomy code is 152W00000X Vita Park Eye Associates, Sc physically located at 705 S. University Ave., Beaver Dam WI, 53916. NPI Number 1033115704 has the healthcare provider type.

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1154418051 NPI number is provided on an as is basis without warranty of any kind. 1154418051 is maintained by the National Plan & Provider Enumeration System. The contents of Vita Park Eye Associates, Sc are for informational purposes only.