Organization
OPTIMAL VISION HEALTH, LLC
Active
Other names
Eye Deal Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KWON O.D. (OWNER)
(414) 345-0547
Entity
Organization
Contact information
Practice address
1489 E SUMNER ST, HARTFORD, WI 53027-2606
(262) 673-7737
(262) 673-7702
Mailing address
1489 E SUMNER ST, HARTFORD, WI 53027-2606
(262) 673-7737
(262) 673-7702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3372-35
WI
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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