Organization
VICKERS EYECARE, INC
Active
Other names
Advanced Family Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C GREGORY VICKERS O.D. (PRESIDENT)
(715) 358-3937
Entity
Organization
Contact information
Practice address
9815 HWY 70 WEST, SUITE 102, MINOCQUA, WI 54548-0971
(715) 358-3937
(715) 358-7677
Mailing address
9815 HWY 70 WEST, SUITE 102, PO BOX 971, MINOCQUA, WI 54548-0971
(715) 358-3937
(715) 358-7677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2838-035
WI
Other
Enumeration date
07/10/2007
Last updated
11/12/2007
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