Organization
FAMILY EYE CARE OF LAKE GENEVA, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA DIXON HEINKE O.D. (PRESIDENT)
(262) 248-4878
Entity
Organization
Contact information
Practice address
835 GENEVA PKWY N STE 3, LAKE GENEVA, WI 53147-5700
(262) 248-4878
(262) 248-1100
Mailing address
835 GENEVA PKWY N STE 3, LAKE GENEVA, WI 53147-5700
(262) 248-4878
(262) 248-1100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3133-035
WI
Other
Enumeration date
04/15/2009
Last updated
09/14/2022
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