Individual
AMBER E BARTELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1280 N SUMMIT AVE, OCONOMOWOC, WI 53066-4459
(262) 567-3214
(262) 567-2449
Mailing address
1280 N SUMMIT AVE, OCONOMOWOC, WI 53066-4459
(262) 567-3214
(262) 567-2449
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3211-35
WI
152W00000X
Optometrist
OPT904
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962651364
—
WI
05
—
433096599
—
ME
01
—
OPT904
MAINE LICENSE
ME
Enumeration date
09/10/2008
Last updated
01/22/2014
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