Organization
KIMBERLY EYE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W STRADEL OD (PRESIDENT)
(920) 788-5612
Entity
Organization
Contact information
Practice address
222 N MAIN ST, KIMBERLY, WI 54136-1415
(920) 788-5612
(920) 788-0857
Mailing address
222 N MAIN ST, KIMBERLY, WI 54136-1415
(920) 788-5612
(920) 788-0857
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38716000
—
WI
Enumeration date
12/19/2005
Last updated
05/30/2008
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