Organization
REZIN OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG REZIN (OWNER/OPTICIAN)
(715) 536-4292
Entity
Organization
Contact information
Practice address
728 E 2ND ST, MERRILL, WI 54452-2419
(715) 536-4292
(715) 536-4747
Mailing address
728 E 2ND ST, MERRILL, WI 54452-2419
(715) 536-4292
(715) 536-4747
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1542-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38507400
—
WI
Enumeration date
09/20/2006
Last updated
01/04/2013
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