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Organization

NEW VISTA EYECARE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM R SPRAGUE OD (PRES)
(715) 726-9077
Entity
Organization

Contact information

Practice address
331 E PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729-3463
(715) 726-9077
(715) 726-9173
Mailing address
331 E PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729-3463
(715) 726-9077
(715) 726-9173

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1288
WI
152W00000X
Optometrist
Primary
1359
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38445000
WI
Enumeration date
03/01/2006
Last updated
06/26/2008
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