Organization
DEAN RETAIL SERVICES, INC.
Active
Other names
SSM Health Davis Duehr Dean Eye Care - Regent Street, Madison, SSM health Davis Duehr Dean Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J GRINNELL (VICE PRESIDENT-FINANCE)
(608) 260-3586
Entity
Organization
Contact information
Practice address
2850 OKEEFFE AVE STE 200, SUN PRAIRIE, WI 53590-7077
(608) 282-2200
(608) 282-3922
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 294-6218
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
WI
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384-40-900
—
WI
Enumeration date
04/03/2007
Last updated
09/10/2025
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