Organization
HERSLOF'S, INC
Active
Other names
HERSLOF FAMILY EYE CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI DICKMAN (PRESIDENT)
(414) 462-1300
Entity
Organization
Contact information
Practice address
12000 W CARMEN AVE, MILWAUKEE, WI 53225
(414) 462-1300
Mailing address
12000 W CARMEN AVE, MILWAUKEE, WI 53225-2116
(414) 462-1300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38432000
—
WI
Enumeration date
03/15/2006
Last updated
07/06/2018
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