| NPI | 1063420719 |
|---|---|
| Doing Business As | EYECARE CENTER OF MADISON |
| Entity Type | Organization |
| Authorized Contact | MICHAEL S BROOKE Optometrist Owner 605-256-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2009-12-01 |