Organization
MINOCQUA OPTICAL & WELLNESS LLC
Active
Other names
DBA Tomahawk Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET ANN COFFEN (OWNER/OPTICIAN)
(715) 224-2200
Entity
Organization
Contact information
Practice address
1334 N. 4TH STREET, SUITE 101, TOMAHAWK, WI 54487-2137
(715) 224-2200
(419) 858-9769
Mailing address
1334 N 4TH ST STE 101, TOMAHAWK, WI 54487-2106
(715) 224-2200
(419) 858-9769
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420969
—
WI
Enumeration date
12/20/2011
Last updated
03/13/2024
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