Organization
MAGIERA EYECARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY METNIK (OFFICE MANAGER)
(920) 766-2481
Entity
Organization
Contact information
Practice address
1 BANK AVE, KAUKAUNA, WI 54130-2581
(920) 766-2481
Mailing address
1 BANK AVE, KAUKAUNA, WI 54130-2581
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1618
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38507900
—
WI
Enumeration date
01/27/2017
Last updated
08/16/2017
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