| NPI | 1780037929 |
|---|---|
| Doing Business As | AURORA VISION CENTER- NORTHWEST CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARY PANTEL Billing Supervisor 920-803-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2023-10-03 |