NPI | 1033262589 |
---|---|
Doing Business As | GREEN APPLE EYE CARE |
Entity Type | Organization |
Authorized Contact | JAMES EDWARD MEMMEN Physician/Owner 920-497-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: WI 29183-020) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-03-10 |