Organization
GLANVILLE EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL KERN GLANVILLE OD (OWNER)
(608) 827-0088
Entity
Organization
Contact information
Practice address
201 JUNCTION RD, MADISON, WI 53717-2615
(608) 827-0088
(608) 836-3895
Mailing address
201 JUNCTION RD, MADISON, WI 53717-2615
(608) 827-0088
(608) 836-3895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WI 2923
WI
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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