# NEW HORIZONS VISION THERAPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083868319
- **Authorized official:** VALERIE L FRAZER OD (OWNER/OPTOMETRIST)
- **Authorized official phone:** (608) 849-4040

## Contact information

- **Practice address:** 1021 QUINN DR STE 400, WAUNAKEE, WI 53597-2502
- **Practice address phone:** (608) 849-4040
- **Practice address fax:** (608) 849-4042
- **Mailing address:** 1021 QUINN DR STE 400, WAUNAKEE, WI 53597-2502
- **Mailing address phone:** (608) 849-4040
- **Mailing address fax:** (608) 849-4042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 152WP0200X | Pediatric Optometrist | — | NULL | — |
| 152WP0200X | Pediatric Optometrist | — | — | — |
| 152WS0006X | Sports Vision Optometrist | — | NULL | — |
| 152WS0006X | Sports Vision Optometrist | — | — | — |
| 152WV0400X | Vision Therapy Optometrist | — | NULL | Yes |
| 152WV0400X | Vision Therapy Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2008
- **Last updated:** 04/10/2024