| NPI | 1083718183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY M FISHER President/Owner 608-782-7127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2705) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 1586) |
| 152W00000X Optometrist (Licence: WI 1575) | |
| 152W00000X Optometrist (Licence: WI 3116) | |
| 152W00000X Optometrist (Licence: WI 3129) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2012-10-18 |