Organization
AURORA HEALTH CARE VENTURES INC.
Active
Other names
Aurora Vision Center - Port Washington
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
1777 W GRAND AVE, SUITE 103, PORT WASHINGTON, WI 53074-2077
(262) 284-3456
Mailing address
1777 W GRAND AVE, SUITE 103, PORT WASHINGTON, WI 53074-2077
(262) 284-3456
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097969
—
WI
Enumeration date
01/07/2016
Last updated
02/25/2025
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