Organization
WEGNER VISION CLINIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON R WEGNER O.D. (OPTOMETRIST)
(262) 637-7917
Entity
Organization
Contact information
Practice address
1120 GROVE AVE, RACINE, WI 53405-3028
(262) 637-7917
(262) 637-6786
Mailing address
1120 GROVE AVE, RACINE, WI 53405-3028
(262) 637-7917
(262) 637-6786
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2647
WI
Other
Enumeration date
04/09/2007
Last updated
04/04/2012
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