Organization
VISION MART, INC
Active
Parent organization
VISION MART, INC
Other names
Vision Mart
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISION MART, INC
Authorized official
VICTORIA JANE DICKMAN (PRESIDENT)
(414) 462-1300
Entity
Organization
Contact information
Practice address
712 N CASALOMA DR, APPLETON, WI 54913-8550
(920) 832-1202
(920) 832-1229
Mailing address
12000 W CARMEN AVE, MILWAUKEE, WI 53225-2116
(414) 462-1300
(414) 462-4780
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38450000
—
WI
Enumeration date
11/21/2019
Last updated
11/21/2019
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