| NPI | 1447344593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL K THOMPSON Owner 920-982-4561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2483-035) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 2752-035) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-07-07 |