NPI | 1508015660 |
---|---|
Doing Business As | OPITX ON DOWNER |
Entity Type | Organization |
Authorized Contact | BRIAN B MCGINLEY Optometrist 414-287-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2854) |
Enumeration Date | 2008-09-14 |
Last Update Date | 2009-07-30 |