Organization
TOWER OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY PAUNOVICH (VICE PRESIDENT)
(414) 453-6500
Entity
Organization
Contact information
Practice address
6012 W NORTH AVE, WAUWATOSA, WI 53213-1528
(414) 453-6500
(414) 453-4737
Mailing address
6012 W NORTH AVE, WAUWATOSA, WI 53213-1528
(414) 453-6500
(414) 453-4737
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38452400
—
WI
Enumeration date
01/09/2007
Last updated
08/22/2020
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