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Individual

SAMUEL K SODA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-5400
Mailing address
1442 N 31ST ST, SHEBOYGAN, WI 53081-3061
(920) 452-5400
(920) 452-1920

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
119996
IA
152W00000X
Optometrist
Primary
3930
WI

Other

Enumeration date
04/14/2023
Last updated
08/13/2025
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