Organization
FOSTER PRIMARY EYE CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALAN FOSTER O.D. (PRESIDENT)
(715) 284-4876
Entity
Organization
Contact information
Practice address
446 COURT ST, NEILLSVILLE, WI 54456-1955
(715) 743-3126
(715) 743-5050
Mailing address
446 COURT ST, P.O. BOX 31, NEILLSVILLE, WI 54456-1955
(715) 743-3126
(715) 743-5050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1728-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38710300
—
WI
Enumeration date
01/23/2009
Last updated
11/18/2010
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