| NPI | 1194736892 |
|---|---|
| Doing Business As | PIONEER OPTICAL |
| Entity Type | Organization |
| Authorized Contact | JUDY ANN HEIN Vice President/CFO 608-647-7369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI MD88588) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: WI 03945) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-01-29 |