Organization
FAMILY VISION & CONTACT LENS CENTERS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LAWRENCE FAIT OD (OWNER)
(262) 763-0117
Entity
Organization
Contact information
Practice address
309 MCHENRY ST, BURLINGTON, WI 53105
(262) 763-0117
(262) 763-0119
Mailing address
PO BOX 630, 309 MCHENRY ST, BURLINGTON, WI 53105
(262) 763-0117
(262) 763-0119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
03/20/2014
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