# SCHLAEFER OPTOMETRISTS

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

## Provider details

- **NPI number:** 1154557817
- **Authorized official:** ANN THERESE SCHLAEFER OD (OWNER)
- **Authorized official phone:** (920) 533-8426

## Contact information

- **Practice address:** 128 W MAIN ST., CAMPBELLSPORT, WI 53010
- **Practice address phone:** (920) 533-8426
- **Practice address fax:** (920) 533-8380
- **Mailing address:** 128 W MAIN ST., P.O. BOX 209, CAMPBELLSPORT, WI 53010
- **Mailing address phone:** (920) 533-8426
- **Mailing address fax:** (920) 533-8380

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2009
- **Last updated:** 06/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38586400 | — | WI |