Organization
MYEYEDR OPTOMETRY OF WISCONSIN, LLC
Active
Other names
MyEyeDr.
Organization subpart
No
Provider details
NPI number
Authorized official
SUE DOWNES (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
10800 N PORT WASHINGTON RD, MEQUON, WI 53092-5007
(262) 241-4848
(262) 241-9865
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
11/08/2019
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