Organization
MIDWEST MOBILE EYE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW THEIRL OD (OWNER)
(651) 303-9470
Entity
Organization
Contact information
Practice address
1968 62ND ST, SOMERSET, WI 54025-6926
(651) 303-9470
Mailing address
1968 62ND ST, SOMERSET, WI 54025-6926
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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