Organization
EYEWEAR SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE STAEVEN-COATES (BUSINESS MANAGER)
(920) 734-8714
Entity
Organization
Contact information
Practice address
1301 E NORTHLAND AVE, STE A, APPLETON, WI 54911-8426
(920) 734-8714
(920) 734-8785
Mailing address
1301 E NORTHLAND AVE, STE A, APPLETON, WI 54911-8426
(920) 734-8714
(920) 734-8785
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
12/16/2009
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