Organization
SIMON FAMILY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SIMON (OWNER)
(262) 599-7045
Entity
Organization
Contact information
Practice address
14820 W MAYFLOWER DR, NEW BERLIN, WI 53151-6716
(262) 227-0542
Mailing address
15300 W GRANGE AVE, NEW BERLIN, WI 53151-7909
(262) 599-7045
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2861-035
WI
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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