| NPI | 1366491227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI DICKMAN President 414-462-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |