Organization
DEAN RETAIL SERVICES, INC.
Active
Other names
SSM Health Davis Duehr Dean Eye Care - N. High Point Road, Madison
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J CRINNELL (VICE PRESIDENT-FINANCE)
(608) 260-3586
Entity
Organization
Contact information
Practice address
752 N HIGH POINT RD, SUITE 200, MADISON, WI 53717-2236
(608) 824-4000
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 294-6218
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
WI
332H00000X
Eyewear Supplier
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384-43-700
—
WI
Enumeration date
04/09/2007
Last updated
08/03/2020
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