| NPI | 1578617957 |
|---|---|
| Other Name | OPHTHALMIC SURGERY OF WISCONSIN, LTD |
| Other Name | OPHTHALMIC SURGERY OF WISCONSIN LTD |
| Entity Type | Organization |
| Authorized Contact | GERALD P CLARKE President 920-236-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-06-24 |