Organization
MIDWEST EYE LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R BARRETT B.C.O. (PRESIDENT OCULARIST)
(715) 833-2277
Entity
Organization
Contact information
Practice address
4606 COMMERCE VALLEY RD, SUITE 201, EAU CLAIRE, WI 54701-7075
(715) 833-2277
(715) 833-2295
Mailing address
4606 COMMERCE VALLEY RD, SUITE 201, EAU CLAIRE, WI 54701-7075
(715) 833-2277
(715) 833-2295
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0943035
—
IA
05
—
1841416062
—
WI
05
—
38430000
—
WI
05
—
503306300
—
MN
Enumeration date
04/19/2007
Last updated
12/13/2018
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