Organization
MEDICAL EYE ASSOCIATES, S.C.
Active
Parent organization
MEDICAL EYE ASSOCIATES, S.C.
Other names
Main OPtical
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL EYE ASSOCIATES, S.C.
Authorized official
DR. GREGORY R. LOCHEN M.D. (PRESIDENT)
(262) 547-3352
Entity
Organization
Contact information
Practice address
400 BAY VIEW RD, SUITE D, MUKWONAGO, WI 53149-1770
(262) 363-1515
Mailing address
1111 DELAFIELD ST, SUITE 312, WAUKESHA, WI 53188-3417
(262) 547-3352
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
10/09/2023
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