Organization
EYE TO EYE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PATRICK BELLOTTI II OPTICIAN (MEMBER)
(414) 491-0397
Entity
Organization
Contact information
Practice address
1659 N SPRING ST STE 101B, BEAVER DAM, WI 53916-1280
(920) 885-3318
(920) 885-3319
Mailing address
1659 N SPRING ST STE 101B, BEAVER DAM, WI 53916-1280
(920) 885-3318
(920) 885-3319
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700951605
OLD NPI
WI
Enumeration date
04/01/2011
Last updated
04/01/2011
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