# 262 EYES

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

## Provider details

- **NPI number:** 1114793460
- **Authorized official:** WILLIAM C SMITH OD (OPTOMETRIST)
- **Authorized official phone:** (262) 352-2560

## Contact information

- **Practice address:** 5701 N LYDELL AVE, GLENDALE, WI 53217-4537
- **Practice address phone:** (414) 516-1238
- **Practice address fax:** (414) 246-1989
- **Mailing address:** 2249 S ALDRICH ST, MILWAUKEE, WI 53207-1303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/28/2023