Organization
EYEWEAR UNLIMITED INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM A SMEBAK (OWNER)
(920) 261-6290
Entity
Organization
Contact information
Practice address
615 E MAIN ST, SUITE A, WATERTOWN, WI 53094-3874
(920) 261-6290
(920) 261-6597
Mailing address
615 E MAIN ST, SUITE A, WATERTOWN, WI 53094-3874
(920) 261-6290
(920) 261-6597
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
12/30/2014
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