Organization
CHERRY OPTICAL INC.
Active
Organization
CHERRY OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ARON CHERRY (OWNER/VICE PRESIDENT)
(920) 469-2559
Entity
Organization
Contact information
Practice address
1640B FIRE LANE DR, GREEN BAY, WI 54311-6245
(920) 469-2559
(920) 469-2658
Mailing address
1640B FIRE LANE DR, GREEN BAY, WI 54311-6245
(920) 469-2559
(920) 469-2658
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
456-0000179711-03
WI
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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