Organization
EYE SEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE J LARSON O.D. (OPTOMETRIST/MEMBER OF EYE SEE, LLC)
(920) 405-9165
Entity
Organization
Contact information
Practice address
2440 W MASON ST, GREEN BAY, WI 54303-4711
(920) 405-9165
(920) 405-9296
Mailing address
PO BOX 5404, DE PERE, WI 54115-5404
(920) 405-9165
(920) 405-9296
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2929-035
WI
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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