Organization
HANSEN FAMILY EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY HANSEN PIKO O.D. (OWNER/OPTOMETRIST)
(262) 597-1040
Entity
Organization
Contact information
Practice address
7707 94TH AVE, PLEASANT PRAIRIE, WI 53158-1955
(262) 597-1040
(262) 597-1041
Mailing address
7707 94TH AVE, PLEASANT PRAIRIE, WI 53158-1955
(262) 597-1040
(262) 597-1041
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3369-35
WI
Other
Enumeration date
06/11/2015
Last updated
01/11/2016
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