| NPI | 1235352667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL L FISCHER President 920-458-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: WI WI2631) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-05-04 |