| NPI | 1114084324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN P GAINEY Ophthalmologist 920-684-4429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 44214-020) |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-08-22 |