Organization
STANISZEWSKI-PASQUA LLC
Active
Parent organization
STANISZEWSKI-PASQUA LLC
Other names
New Vision Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
STANISZEWSKI-PASQUA LLC
Authorized official
LOIS J STANISZEWSKI (EXECUTIVE DIRECTOR)
(989) 724-7440
Entity
Organization
Contact information
Practice address
927 S OTSEGO AVE, GAYLORD, MI 49735-1783
(989) 732-7518
(989) 732-4205
Mailing address
927 S OTSEGO AVE, P.O. BOX 421, GAYLORD, MI 49735-1783
(989) 732-7518
(989) 732-4205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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