NPI | 1902014277 |
---|---|
Doing Business As | SIGNATURE EYECARE |
Entity Type | Organization |
Authorized Contact | KEVIN ALLEN HARRY Owner Optometrist 262-786-9630 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI WI 2179) |
Enumeration Date | 2007-05-19 |
Last Update Date | 2008-06-12 |