Organization
MEDICAL EYE CLINIC OF EAU CLAIRE
Active
Other names
Eau Claire Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY A OLSON M.D. (OWNER)
(715) 834-5644
Entity
Organization
Contact information
Practice address
2715 DAMON ST, SUITE 200, EAU CLAIRE, WI 54701-2634
(715) 834-5644
(715) 834-5674
Mailing address
2715 DAMON ST, SUITE 200, EAU CLAIRE, WI 54701-2634
(715) 834-5644
(715) 834-5674
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
17337
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38444400
—
WI
Enumeration date
07/02/2007
Last updated
04/21/2015
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