Organization
STEIN OPTICAL INC
Active
Other names
Stein Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG NEWCOM (OFFICER)
(210) 524-6700
Entity
Organization
Contact information
Practice address
1437 S. MAIN STREET, WEST BEND, WI 53095
(262) 334-1925
(262) 334-4303
Mailing address
PO BOX 846309, DALLAS, TX 75284-6309
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38717200
—
WI
Enumeration date
10/17/2006
Last updated
08/21/2008
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