Myeyedr Optometry Of Wisconsin, LLC
Optometrist in Fredonia, WI. Organization (NPI-2).
NPI number1083176952
StatusActive
Last updated in NPPESJul 11, 2019
Details
- NPI
- 1083176952
- Entity type
- Organization (NPI-2)
- Legal business name
- Myeyedr Optometry Of Wisconsin, LLC
- Organization subpart
- No
- Enumeration date
- Apr 1, 2019
- Last updated
- Jul 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Myeyedr. (Doing Business As)
Practice location
120 Martin DrFredonia, WI 53021-9455
Phone 262-692-9000
Mailing address
1950 Old Gallows RdVienna, VA 22182-3990
Phone 703-847-8899 · Fax 571-223-6780
Authorized official
Sue Downes
Secretary
7038478899
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Other Optometrist providers in Fredonia, WI
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- Melissa J Knous, ODNPI 1720012073
- Michelle M Nave, O.D.NPI 1912990425
- Eric Paul Pedersen, ODNPI 1992793806
- Se Professionals, S.C.NPI 1528143500
All 7 Optometrist providers in Fredonia · All 26 providers in Fredonia
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