| NPI | 1548286909 |
|---|---|
| Doing Business As | THE WAUPUN EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS CASTILLO Corporation Officer 920-887-1151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2021-04-21 |