Organization
I C 20 20 EAU CLAIRE INC
Active
Other names
Sterling Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DELAKIS (OWNER MANAGER)
(715) 833-1220
Entity
Organization
Contact information
Practice address
4054 COMMONWEALTH AVE, EAU CLAIRE, WI 54701-9000
(715) 833-1220
(715) 833-1297
Mailing address
4054 COMMONWEALTH AVE, EAU CLAIRE, WI 54701-9000
(715) 833-1220
(715) 833-1297
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2275035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38711700
—
WI
Enumeration date
12/30/2006
Last updated
01/16/2014
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