Organization
JOHN W THORPE OPTOMETRISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W THORPE O.D. (OWNER/OPTOMETRIST)
(262) 784-6446
Entity
Organization
Contact information
Practice address
14145 W GREENFIELD AVE, NEW BERLIN, WI 53151-1640
(262) 784-6446
Mailing address
14145 W GREENFIELD AVE, NEW BERLIN, WI 53151
(262) 784-6446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WI1362
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38503900
—
WI
Enumeration date
02/22/2011
Last updated
02/22/2011
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