Organization
SAUKVILLE FAMILY EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA J KNOUS O.D. (OWNER)
(262) 352-7907
Entity
Organization
Contact information
Practice address
825 E GREEN BAY AVE, SAUKVILLE, WI 53080-2618
(262) 352-7907
Mailing address
935 N GRANT ST, PORT WASHINGTON, WI 53074-1459
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2992
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38628400
—
WI
Enumeration date
08/08/2011
Last updated
08/08/2011
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