Organization
SOUTHWEST HEALTH CENTER, INC.
Active
Other names
The Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE SOOKOCHOFF (CHIEF FINANCIAL OFFICER)
(608) 342-4705
Entity
Organization
Contact information
Practice address
1509 IHM ST, LANCASTER, WI 53813-9458
(608) 723-2020
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
12/21/2018
Last updated
05/27/2020
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