| NPI | 1023138922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA H. OLSON VP 262-338-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 1756) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-08-13 |