Organization
EYE CARE CENTER OF NEW HOLSTEIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL M ROERS O.D. (OWNER)
(920) 898-5531
Entity
Organization
Contact information
Practice address
1405 MILWAUKEE DR, NEW HOLSTEIN, WI 53061-1430
(920) 898-5531
Mailing address
1405 MILWAUKEE DR, NEW HOLSTEIN, WI 53061-1430
(920) 898-5531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38723300
—
WI
Enumeration date
02/20/2007
Last updated
06/11/2013
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