NPI | 1881749919 |
---|---|
Doing Business As | WEST BEND CLINIC OPTICAL |
Entity Type | Organization |
Authorized Contact | JAMES N BROWNE Administrator 262-334-3451 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-08-22 |