EYE CLINIC OF MANITOWOC, S.C.

MANITOWOC, WI
NPI1437144417
Entity TypeOrganization
Authorized ContactDONALD R LEWELLEN
Ophthalmologist/Vice President
920-684-4429
Organization Subpart ?No
Primary Taxonomy207W00000X Ophthalmology
Additional Taxonomies152W00000X Optometrist
156FX1800X Technician/Technologist, Optician
Enumeration Date2005-09-15
Last Update Date2009-11-19
Business Address
EYE CLINIC OF MANITOWOC, S.C.
4801 EXPO DR
MANITOWOC, WI 54220-9341
Phone number: 920-684-4429
Mailing Address
EYE CLINIC OF MANITOWOC, S.C.
PO BOX 1900
MANITOWOC, WI 54221-1900
Phone number: 920-684-4429
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