Organization
MYEYEDR OPTOMETRY OF WISCONSIN, LLC
Active
Other names
MyEyeDr.
Organization subpart
No
Provider details
NPI number
Authorized official
SUE DOWNES (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
14151 W NATIONAL AVE, NEW BERLIN, WI 53151-4528
(414) 541-2100
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
07/11/2019
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