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Organization
ALLIED FAMILY EYE CARE
Active
Organization
ALLIED FAMILY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BUEGE (MANAGER)
(414) 559-8915
Entity
Organization
Contact information
Practice address
1643 ARCADIAN AVE, WAUKESHA, WI 53186-5391
(414) 559-8915
Mailing address
PO BOX 992, WAUKESHA, WI 53187-0992
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2653
WI
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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