Organization
FAMILY VISION & CONTACT LENS CTRS SC
Active
Parent organization
FAMILY VISION & CONTACT LENS CTRS SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY VISION & CONTACT LENS CTRS SC
Authorized official
DR. ROBERT LAWRENCE FAIT OD (OWNER)
(262) 763-0117
Entity
Organization
Contact information
Practice address
308 E MAIN ST, TWIN LAKES, WI 53181-9682
(262) 877-3999
(262) 877-9862
Mailing address
PO BOX 630, BURLINGTON, WI 53105-0630
(262) 763-0117
(262) 763-0119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
02/22/2010
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