Organization
OREGON FAMILY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTOPHER LEE GLANVILLE O.D. (DOCTOR OF OPTOMETRY)
(608) 835-6658
Entity
Organization
Contact information
Practice address
600 PLEASANT OAK DR, SUITE D, OREGON, WI 53575-3648
(608) 835-6658
Mailing address
600 PLEASANT OAK DR, SUITE D, OREGON, WI 53575-3648
(608) 835-6658
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2924
WI
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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