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Organization

EYE PHYSICIANS OF WATERTOWN SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD J HOY MD (PRESIDENT)
(920) 261-8225
Entity
Organization

Contact information

Practice address
123 HOSPITAL DRIVE, SUITE 1002, WATERTOWN, WI 53098
(920) 261-8225
(920) 261-5343
Mailing address
123 HOSPITAL DRIVE, SUITE 1002, WATERTOWN, WI 53098
(920) 261-8225
(920) 261-5343

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32843800
WI
Enumeration date
03/27/2006
Last updated
07/19/2007
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