| NPI | 1467829523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES AARON DOYLE Owner/Optician 262-261-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2716-35) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: WI 184443) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |