Organization
ESSENTIAL EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA PORCH JOHNSON O.D. (MEMBER)
(651) 270-1621
Entity
Organization
Contact information
Practice address
250 RICHMOND WAY, NEW RICHMOND, WI 54017-6829
(715) 246-2894
(715) 246-2894
Mailing address
250 RICHMOND WAY, NEW RICHMOND, WI 54017-6829
(715) 246-2894
(715) 246-2894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3023-035
WI
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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