Organization
CHIPPEWA VALLEY OPTICAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COAD THOMAS DOW MD (PRESIDENT)
(715) 834-8471
Entity
Organization
Contact information
Practice address
2715 DAMON ST, EAU CLAIRE, WI 54701-2634
(715) 834-8471
(715) 834-0373
Mailing address
2715 DAMON ST, EAU CLAIRE, WI 54701-2634
(715) 834-8471
(715) 834-0373
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/15/2005
Last updated
09/09/2009
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