Organization
CHARLES BLAND,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES LEE BLAND O.D. (PRESIDENT)
(715) 556-3308
Entity
Organization
Contact information
Practice address
180 CEDAR FALLS RD, MENOMONIE, WI 54751-1268
(715) 235-5084
(715) 235-5097
Mailing address
N7962 480TH ST, MENOMONIE, WI 54751-5832
(715) 556-3308
(715) 235-5097
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2536-035
WI
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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