Organization
CHIPPEWA VALLEY EYE CLINIC SC
Active
Other names
Chippewa Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY F BROWN MD (V PRES)
(715) 723-6520
Entity
Organization
Contact information
Practice address
2525 CTH I, CHIPPEWA FALLS, WI 54729
(715) 723-6520
(715) 723-1092
Mailing address
2525 CTH I, CHIPPEWA FALLS, WI 54729
(715) 723-6520
(715) 723-1092
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32846300
—
WI
Enumeration date
07/12/2006
Last updated
08/22/2020
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