EYE CLINIC SC

LAKE GENEVA, WI
NPI1851577829
Entity TypeOrganization
Authorized ContactNICHOLAS WILLIM VEITH
President
262-248-8577
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: WI  18321)
Enumeration Date2008-01-21
Last Update Date2008-01-21
Business Address
EYE CLINIC SC
7363 STATE ROAD 50
LAKE GENEVA, WI 53147-4516
Phone number: 262-248-8577
Mailing Address
EYE CLINIC SC
7363 STATE ROAD 50
LAKE GENEVA, WI 53147-4516
Phone number: 262-248-8577