| NPI | 1285079673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE RICHARDSON Owner/Optometrist 262-880-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3224-035) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |