| NPI | 1710905781 |
|---|---|
| Former Legal Business Name | EYE CENTER OF RACINE LTD |
| Other Name | THE EYE CENTERS OF RACINE AND KENOSHA |
| Entity Type | Organization |
| Authorized Contact | MELISSA GOTTFREDSEN Practice Administrator 262-898-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-04-21 |