| NPI | 1831734656 |
|---|---|
| Doing Business As | PEARL STREET EYE |
| Entity Type | Organization |
| Authorized Contact | CHARLIE VAN GOETZ Managing Director 414-531-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |