Organization
TARPENNING & ASSOCIATES
Active
Other names
Lake Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI SUE HEINSOHN (OFFICE MANAGER)
(715) 234-1511
Entity
Organization
Contact information
Practice address
2900 S MAIN ST, RICE LAKE, WI 54868
(715) 234-1511
(715) 434-1513
Mailing address
2900 S MAIN ST, RICE LAKE, WI 54868
(715) 234-1511
(715) 434-1513
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
WI
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38419400
—
WI
Enumeration date
09/07/2006
Last updated
07/21/2022
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