| NPI | 1154595387 |
|---|---|
| Doing Business As | SSM HEALTH EYE CARE |
| Doing Business As | FOND DU LAC REGIONAL OPTICAL |
| Entity Type | Organization |
| Authorized Contact | AMY JO GRINNELL VP Finance 608-229-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2022-08-23 |