Organization
OCUFOCUS OF JANESVILLE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY MICHAEL GOETSCH O.D. (PRESIDENT)
(608) 239-1218
Entity
Organization
Contact information
Practice address
5501 LAKE MENDOTA DR, MADISON, WI 53705-1248
(608) 239-1218
Mailing address
5501 LAKE MENDOTA DR, MADISON, WI 53705-1248
(608) 239-1218
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3146-35
WI
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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