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Organization

OPTICAL FASHIONS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOLLY M FISHER OD (PRESIDENT/OWNER)
(608) 782-7127
Entity
Organization

Contact information

Practice address
2104 STATE RD 16, LA CROSSE, WI 54601
(608) 782-7127
(608) 782-7124
Mailing address
2104 STATE RD 16, LA CROSSE, WI 54601-3046
(608) 782-7127
(608) 782-7124

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1575
WI
152W00000X
Optometrist
1586
WI
152W00000X
Optometrist
Primary
2705
WI
152W00000X
Optometrist
3116
WI
152W00000X
Optometrist
3129
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100020764
WI
05
38509300
WI
05
38512500
WI
05
38602800
WI
05
38645900
WI
Enumeration date
09/11/2006
Last updated
10/18/2012
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