NPI | 1588785687 |
---|---|
Doing Business As | SSM HEALTH DAVIS DUEHR DEAN EYE CARE - REGENT STREET, MADISON |
Entity Type | Organization |
Authorized Contact | AMY J GRINNELL Vice President Finance 608-260-3586 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2020-08-03 |