| NPI | 1760877575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW BRYAN MERGENTHALER Owner/Optometrist 608-790-5851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3359-35) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |