Organization
EYE-Q OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES AARON DOYLE MSHA, ABOC (OWNER/OPTICIAN)
(262) 261-5252
Entity
Organization
Contact information
Practice address
309 N FRANKLIN ST, PORT WASHINGTON, WI 53074-1905
(262) 261-5252
(262) 649-2310
Mailing address
309 N FRANKLIN ST, PORT WASHINGTON, WI 53074-1905
(262) 261-5252
(262) 649-2310
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2716-35
WI
156FX1800X
Optician
184443
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407233430
—
WI
Enumeration date
08/25/2015
Last updated
08/25/2015
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