| NPI | 1992794911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J KONTRA President 262-886-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2008-04-25 |