| NPI | 1306837273 |
|---|---|
| Other Name | MADISON OPTOMETRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | WANDA K FREY Office Manager 608-251-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 1596) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2008-07-09 |