Organization
DRS MELCHER AND SPRAGUE OPTOMETRISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT SPRAGUE OD (PRES)
(715) 669-5631
Entity
Organization
Contact information
Practice address
102 E STANLEY ST, THORP, WI 54771-9649
(715) 669-5631
Mailing address
PO BOX 468, THORP, WI 54771-0468
(715) 669-5631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384450000
—
WI
Enumeration date
02/13/2006
Last updated
07/15/2008
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