| NPI | 1548413107 |
|---|---|
| Former Legal Business Name | RICHARD L. FOSS OD, FAMILY VISION CENTER OF TOMAH |
| Entity Type | Organization |
| Authorized Contact | ANN M WONDERLING Owner/Optometrist 608-788-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2949) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 1466) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2017-04-04 |