| NPI | 1508053083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P ROMANAK Optometrist/President 262-942-9899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2200) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WI 2200) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2008-06-13 |