| NPI | 1861590200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ANN WHITT-BARKER Office Manager 715-478-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 1494-035) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-10 |