EYE XAMZ

KENOSHA, WI
NPI1649443060
Entity TypeOrganization
Authorized ContactLEE L HAGOPIAN
President
262-705-8947
Organization Subpart ?No
Primary Taxonomy156FX1202X Technician/Technologist, Optometric Technician
Enumeration Date2008-04-07
Last Update Date2015-05-12
Business Address
EYE XAMZ
7532 PERSHING BLVD
KENOSHA, WI 53142-4316
Phone number: 262-705-8947
Mailing Address
EYE XAMZ
7419 256TH AVE
SALEM, WI 53168-9158
Phone number: 262-705-8947
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