Organization
GREENVILLE EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MAGIERA (OWNER/MEMBER)
(920) 560-3937
Entity
Organization
Contact information
Practice address
N1739 LILY OF THE VALLEY DR, SUITE 2, GREENVILLE, WI 54942-9105
(920) 560-3937
(920) 257-4403
Mailing address
N1739 LILY OF THE VALLEY DR, SUITE 2, GREENVILLE, WI 54942-9105
(920) 560-3937
(920) 257-4403
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2994-035
WI
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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