Organization
ADVANCED FOCUS EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BARDENWERPER O.D. (OWNER/SOLE MEMBER)
(262) 366-6370
Entity
Organization
Contact information
Practice address
1116 N MAIN ST, WEST BEND, WI 53090-1923
(262) 366-6370
Mailing address
1116 N MAIN ST, WEST BEND, WI 53090-1923
(262) 366-6370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
325735
WI
Other
Enumeration date
08/05/2015
Last updated
10/02/2024
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