Organization
MYEYEDR OPTOMETRY OF WISCONSIN, LLC
Active
Other names
MyEyeDr.
Organization subpart
No
Provider details
NPI number
Authorized official
SUE HEALEY (CEO)
(703) 847-8899
Entity
Organization
Contact information
Practice address
2305 30TH AVE, KENOSHA, WI 53144-1411
(262) 597-2020
(262) 597-5452
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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