| NPI | 1831467703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE J LARSON O PT Ometrist/Member Of Eye See, LLC 920-405-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 2929-035) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |