Blenker Family Eye Care LLC
Optometrist in Madison, WI. Organization (NPI-2).
NPI number1356625412
StatusActive
Last updated in NPPESOct 6, 2011
Details
- NPI
- 1356625412
- Entity type
- Organization (NPI-2)
- Legal business name
- Blenker Family Eye Care LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2011
- Last updated
- Oct 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2652-035 | WI | Yes |
Practice location
6614 Mineral Point RdMadison, WI 53705-4238
Phone 608-833-0301
Mailing address
6614 Mineral Point RdMadison, WI 53705-4238
Phone 608-833-0301
Authorized official
Julie M Blenker
Optometrist
6084494460
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