NPI | 1033239801 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY LEE LEISCHER Optometrist Owner 715-848-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2687) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2009-05-26 |