| NPI | 1740317841 |
|---|---|
| Former Legal Business Name | ALEXANDER EYE INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KAY GODDARD Ophthalmic Technician 920-830-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 30180) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-05-04 |