Organization
MODERN EYES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARB WASCHBISCH OD (PRESIDENT)
(920) 499-3937
Entity
Organization
Contact information
Practice address
2330 S ONEIDA ST STE 106, GREEN BAY, WI 54304-5118
(920) 499-3937
(920) 499-7729
Mailing address
2330 S ONEIDA ST STE 106, GREEN BAY, WI 54304-5118
(920) 499-3937
(920) 499-7729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2517
WI
332B00000X
Durable Medical Equipment & Medical Supplies
6198590001
WI
Other
Enumeration date
12/04/2008
Last updated
05/21/2009
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