Organization
OLSON EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE TRAUSCH (OPTOMETRIST/OWNER)
(920) 324-3501
Entity
Organization
Contact information
Practice address
537 E MAIN ST, WAUPUN, WI 53963-2162
(920) 324-3501
(920) 324-3380
Mailing address
537 E MAIN ST, PO BOX 350, WAUPUN, WI 53963-2162
(920) 324-3501
(920) 324-3380
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2773
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000087185
MEDICARE PROVIDER
WI
05
—
38611800
—
WI
Enumeration date
11/20/2009
Last updated
11/20/2009
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