Organization
STEWART AVENUE OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LYONS (PRESIDENT)
(715) 845-1988
Entity
Organization
Contact information
Practice address
2100 STEWART AVE STE 120, WAUSAU, WI 54401-1707
(715) 845-1988
(715) 842-8793
Mailing address
2100 STEWART AVE STE 120, WAUSAU, WI 54401-1707
(715) 845-1988
(715) 842-8793
Taxonomy
Speciality
Code
Description
License number
State
332G00000X
Eye Bank
Primary
2629
WI
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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