Organization
CARDINAL FAMILY EYE CARE LLC
Active
Parent organization
CARDINAL FAMILY EYE CARE
Other names
New Vista EyeCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARDINAL FAMILY EYE CARE
Authorized official
JACOB B VERGIN OD (MANAGING PARTNER)
(715) 861-5253
Entity
Organization
Contact information
Practice address
331 E PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729-3463
(715) 726-9077
(715) 726-9173
Mailing address
331 E PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729-3463
(715) 726-9077
(715) 726-9173
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3081-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38726600
—
WI
Enumeration date
09/05/2007
Last updated
02/21/2008
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