Organization
DRS ELLIOTT & WEBB, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT T WEBB III OD (OWNER)
(608) 742-7133
Entity
Organization
Contact information
Practice address
304 W COOK ST, PORTAGE, WI 53901-2108
(608) 742-7133
(608) 745-1603
Mailing address
304 W COOK ST, PORTAGE, WI 53901-2108
(608) 742-7133
(608) 745-1603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2646-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38712200
—
WI
Enumeration date
11/20/2006
Last updated
03/07/2023
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