Individual
DR. ROSS IRA CLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5333 DOUGLAS AVE, CALEDONIA, WI 53402-2032
(262) 752-2100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3177035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215187
—
WI
Enumeration date
11/10/2010
Last updated
02/28/2024
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