Organization
OPTOMETRIC SERVICES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ELMER SALISBURY O.D. (OWNER / PRESIDENT)
(920) 788-4162
Entity
Organization
Contact information
Practice address
607 WILSON ST, LITTLE CHUTE, WI 54140-1856
(920) 788-4162
(920) 788-6134
Mailing address
607 WILSON ST, LITTLE CHUTE, WI 54140-1856
(920) 788-4162
(920) 788-6134
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WI1829
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000291
WEA
—
Enumeration date
12/10/2007
Last updated
06/25/2008
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