West Bend Clinic
Eyewear Supplier (Equipment, not the service) in West Bend, WI. Organization (NPI-2).
NPI number1881749919
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1881749919
- Entity type
- Organization (NPI-2)
- Legal business name
- West Bend Clinic
- Organization subpart
- No
- Enumeration date
- Jan 25, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- West Bend Clinic Optical (Doing Business As)
Practice location
1700 W Paradise DrWest Bend, WI 53095-9795
Phone 262-334-3451
Mailing address
1700 W Paradise DrWest Bend, WI 53095-9795
Authorized official
James N Browne
Administrator
2623343451
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All 8 Eyewear Supplier providers in West Bend · All 1,149 providers in West Bend
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