Organization
MIDLINE VISION GROUP LLC
Active
Other names
Advanced Madison Eye Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY GOETSCH O.D. (CEO)
(715) 693-2400
Entity
Organization
Contact information
Practice address
412 3RD ST, MOSINEE, WI 54455-1425
(715) 693-2400
(608) 467-4556
Mailing address
408 N 3RD ST STE 402, WAUSAU, WI 54403-5455
(608) 239-1218
(608) 467-4556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/31/2011
Last updated
07/12/2021
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