Organization
AEG WISCONSIN VISION THERAPY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ALLISON (SENIOR DIRECTOR RCM/MVC)
(618) 462-9818
Entity
Organization
Contact information
Practice address
2215 VINE ST STE C, HUDSON, WI 54016-5862
(715) 381-1577
(715) 381-5357
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6241
(618) 462-9818
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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