Organization
SE PROFESSIONALS SC
Active
Other names
Premier Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KING AYMOND MD (OWNER)
(920) 467-7000
Entity
Organization
Contact information
Practice address
8693 N PORT WASHINGTON RD, FOX POINT, WI 53217
(414) 351-2020
(414) 351-2031
Mailing address
8693 N PORT WASHINGTON RD, FOX POINT, WI 53217
(414) 351-2020
(414) 351-2031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
10/31/2012
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