Organization
BLENKER FAMILY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE M BLENKER OD (OPTOMETRIST)
(608) 449-4460
Entity
Organization
Contact information
Practice address
6614 MINERAL POINT RD, MADISON, WI 53705-4238
(608) 833-0301
Mailing address
6614 MINERAL POINT RD, MADISON, WI 53705-4238
(608) 833-0301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2652-035
WI
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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