| NPI | 1154972321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL K ROMENESKO Owner/Optometrist 920-722-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2021-02-01 |