NPI | 1154518967 |
---|---|
Former Legal Business Name | RICHARD L FOSS, O.D. DBA FAMILY VISION CENTER OF LACROSSE LLC |
Entity Type | Organization |
Authorized Contact | ANN M WONDERLING Owner/Optometrist 608-788-4300 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2007-09-26 |
Last Update Date | 2017-04-04 |