Organization
DOWNTOWN OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JOY KRETZER (OPTICIAN)
(715) 298-3308
Entity
Organization
Contact information
Practice address
330 WASHINGTON ST, WAUSAU, WI 54403-5545
(715) 298-3308
(715) 298-2445
Mailing address
330 WASHINGTON ST, WAUSAU, WI 54403-5545
(715) 298-3308
(715) 298-2445
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447532940
—
WI
Enumeration date
02/14/2012
Last updated
02/14/2012
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