Organization
ELLIOTT VISION CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E ELLIOTT O.D. (OWNER, PRESIDENT)
(262) 632-2020
Entity
Organization
Contact information
Practice address
2722 OLD MILL DR, RACINE, WI 53405-1320
(262) 632-2020
(262) 632-7085
Mailing address
2722 OLD MILL DR, RACINE, WI 53405-1320
(262) 632-2020
(262) 632-7085
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2658
WI
Other
Enumeration date
03/26/2007
Last updated
05/23/2019
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