Organization
VALLEY VIEW VISION SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI ANN BERGSTROM O.D. (OWNER)
(715) 646-1336
Entity
Organization
Contact information
Practice address
416 SUPERIOR AVENUE, CENTURIA, WI 54824
(715) 646-1336
Mailing address
PO BOX 400, CENTURIA, WI 54824-0400
(715) 646-1336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2281
WI
Other
Enumeration date
02/28/2007
Last updated
10/31/2012
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