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 |