Organization
EYE SPECIALIST OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER MARSOLEK (OWNER)
(715) 682-0482
Entity
Organization
Contact information
Practice address
2101 BEASER AVE, SUITE 6, ASHLAND, WI 54806-3638
(715) 682-0482
(715) 682-4297
Mailing address
2101 BEASER AVE, SUITE 6, ASHLAND, WI 54806-3638
(715) 682-0482
(715) 682-4297
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/15/2008
Last updated
06/15/2008
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