Organization
ANDERSON VISION CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN A BREY BBA (MANAGER)
(920) 235-8880
Entity
Organization
Contact information
Practice address
461 N WASHBURN ST, OSHKOSH, WI 54904-7812
(920) 235-8880
(920) 235-4906
Mailing address
461 N WASHBURN ST, OSHKOSH, WI 54904-7812
(920) 235-8880
(920) 235-4906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WI1919
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38521800
—
WI
Enumeration date
01/29/2007
Last updated
07/29/2008
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