Organization
EYE SITE VISION CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MOTISI OD (OWNER)
(262) 786-2020
Entity
Organization
Contact information
Practice address
15425 W NATIONAL AVE, NEW BERLIN, WI 53151-5156
(262) 789-6929
(262) 789-1432
Mailing address
15425 W NATIONAL AVE, NEW BERLIN, WI 53151-5156
(262) 789-6929
(262) 789-1432
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1834
WI
Other
Enumeration date
05/03/2007
Last updated
10/15/2010
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