Organization
STINE EYE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DOUGLAS STINE OD (CEO)
(715) 241-2020
Entity
Organization
Contact information
Practice address
4009 COMMUNITY CENTER DRIVE, #100, WESTON, WI 54476
(715) 241-2020
(715) 241-9827
Mailing address
4009 COMMUNITY CENTER DRIVE, #100, WESTON, WI 54476-2264
(715) 241-2020
(715) 241-9827
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1909035
WI
Other
Enumeration date
11/17/2006
Last updated
04/08/2010
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