Organization
AEG WISCONSIN PROFESSIONAL LTD
Active
Other names
Christenson Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY BENNINGTON (AUTHORIZED OFFICIAL)
(618) 462-9818
Entity
Organization
Contact information
Practice address
2215 VINE ST, SUITE E, HUDSON, WI 54016-5802
(715) 381-1234
(314) 741-4947
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
09/02/2025
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