| NPI | 1043836182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HARVEY CEO 715-797-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2025-04-23 |