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Park Place Optical, Ltd

Technician/Technologist, Optician in Appleton, WI. Organization (NPI-2).

NPI number1255465738
StatusActive
Last updated in NPPESJan 12, 2017

Details

NPI
1255465738
Entity type
Organization (NPI-2)
Legal business name
Park Place Optical, Ltd
Organization subpart
No
Enumeration date
Mar 15, 2007
Last updated
Jan 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

21 Park Pl
Appleton, WI 54914-8872

Phone 920-739-8235 · Fax 920-749-8095

Mailing address

21 Park Pl
Appleton, WI 54914-8872

Phone 920-739-8235 · Fax 920-749-8095

Authorized official

Michael P Vrabec
Officer
9207398235

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