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Organization

VISION MART, INC

Active
Other names
VISION MART
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VICKI DICKMAN (PRES)
(414) 462-1300
Entity
Organization

Contact information

Practice address
2476 S ONEIDA ST, SUITE 105, GREEN BAY, WI 54304-5289
(920) 965-0260
(920) 965-0262
Mailing address
12000 W CARMEN AVE, MILWAUKEE, WI 53225-2116
(414) 462-1300
(414) 462-4780

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3845000
WI
Enumeration date
10/19/2011
Last updated
10/19/2011
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