Organization
WEST BEND CLINIC
Active
Other names
West Bend Clinic Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES N BROWNE (ADMINISTRATOR)
(262) 334-3451
Entity
Organization
Contact information
Practice address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 334-3451
Mailing address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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