| NPI | 1558884767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S DAVIS Owner/Board Certified Ocularist 608-630-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist (Licence: WI 14366-20) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |