| NPI | 1295702918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R SPRAGUE Pres 715-726-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 1359) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 1288) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2008-06-26 |