Organization
AURORA HEALTH CARE VENTURES INC
Active
Other names
Aurora Vision Center- Northwest Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
7878 N 76TH ST, SUITE 202, MILWAUKEE, WI 53223-3914
(414) 586-5668
(414) 586-5669
Mailing address
7878 N 76TH ST, SUITE 202, MILWAUKEE, WI 53223-3914
(414) 586-5668
(414) 586-5669
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061583
—
WI
Enumeration date
07/22/2016
Last updated
02/25/2025
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