Organization
SCHLAEFER OPTOMETRISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN THERESE SCHLAEFER OD (OWNER)
(920) 533-8426
Entity
Organization
Contact information
Practice address
128 W MAIN ST., CAMPBELLSPORT, WI 53010
(920) 533-8426
(920) 533-8380
Mailing address
128 W MAIN ST., P.O. BOX 209, CAMPBELLSPORT, WI 53010
(920) 533-8426
(920) 533-8380
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38586400
—
WI
Enumeration date
06/08/2009
Last updated
06/08/2009
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