NPI | 1962653485 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER R WINTER Optometrist/Owner 262-246-8066 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 1707) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2010-10-22 |