Organization
BROOKFIELD VISION CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON L VARNER O.D. (VICE PRESIDENT)
(262) 754-4880
Entity
Organization
Contact information
Practice address
19035 W CAPITOL DR, SUITE 106, BROOKFIELD, WI 53045-2755
(262) 754-4880
(262) 754-9814
Mailing address
19035 W CAPITOL DR, SUITE 106, BROOKFIELD, WI 53045-2755
(262) 754-4880
(262) 754-9814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WI2821
WI
Other
Enumeration date
12/29/2007
Last updated
12/29/2007
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