| NPI | 1669625877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M HEINTZ Billing Office Manager 608-788-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: WI 2949-035) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-11-12 |