Organization
GERAETS VISION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SCALISSI ABOC (OPTICIAN)
(608) 758-2020
Entity
Organization
Contact information
Practice address
2704 N PONTIAC DR, JANESVILLE, WI 53545-0343
(608) 758-2020
(608) 755-7604
Mailing address
2704 N PONTIAC DR, JANESVILLE, WI 53545-0343
(608) 758-2020
(608) 755-7604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1803
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38520300
—
WI
Enumeration date
01/17/2008
Last updated
01/06/2012
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