Organization
MEDICAL EYE ASSOCIATES, S.C.
Active
Parent organization
MEDICAL EYE ASSOCIATES, S.C.
Other names
Main Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL EYE ASSOCIATES, S.C.
Authorized official
SANDI OWINGS (PRACTICE ADMINISTRATOR)
(414) 828-2012
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, SUITE 312, WAUKESHA, WI 53188
(262) 547-3352
(262) 547-9142
Mailing address
1111 DELAFIELD ST, SUITE 312, WAUKESHA, WI 53188
(262) 547-3352
(262) 547-9142
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
44407
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
513382
NVA
WI
01
—
927127
VIPA
WI
Enumeration date
03/27/2007
Last updated
11/19/2019
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