Organization
PACKERLAND EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH DIERKS OD (OWNER/OPTOMETRIST)
(920) 540-1243
Entity
Organization
Contact information
Practice address
1800 S KENSINGTON DR, APPLETON, WI 54915-4136
(920) 738-1883
Mailing address
PO BOX 251, GREENVILLE, WI 54942-0251
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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