Organization
HERMAN ADVANCED FAMILY EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN L HERMAN OD (OWNER)
(715) 568-1373
Entity
Organization
Contact information
Practice address
1402 MAIN ST, BLOOMER, WI 54724-1637
(715) 568-1373
Mailing address
1402 MAIN ST, BLOOMER, WI 54724-1637
(715) 568-1373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3016-35
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38723500
—
WI
Enumeration date
05/31/2007
Last updated
11/14/2010
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