Organization
WEST BEND OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA H. OLSON (VP)
(262) 338-1800
Entity
Organization
Contact information
Practice address
3720 W. WASHINGTON ST., WEST BEND, WI 53095-8406
(262) 338-1800
(262) 338-1947
Mailing address
3720 W. WASHINGTON ST., WEST BEND, WI 53095-8406
(262) 338-1800
(262) 338-1947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1756
WI
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/13/2010
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