Organization
W E OPTICIANS OF KENOSHA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J. WHITE CERTIFIED OPTICIAN (PRESIDENT)
(262) 656-0101
Entity
Organization
Contact information
Practice address
708 55TH ST, KENOSHA, WI 53140-3732
(262) 656-0101
Mailing address
708 55TH ST, KENOSHA, WI 53140-3732
(262) 656-0101
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
NZ038
WI
Other
Enumeration date
04/04/2008
Last updated
07/24/2008
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