Organization
T.J. PEASE & ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J. PEASE O.D. (OWNER/DOCTOR)
(920) 469-0606
Entity
Organization
Contact information
Practice address
2324 UNIVERSITY AVE, GREEN BAY, WI 54302-4536
(920) 469-0606
Mailing address
2324 UNIVERSITY AVE, GREEN BAY, WI 54302-4536
(920) 469-0606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1547035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38548600
—
WI
Enumeration date
12/11/2007
Last updated
06/11/2008
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