| NPI | 1902145519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA B HOFFMANN Optometrist/Owner 715-341-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 3190) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-05-22 |