Nor-Door Island Eyecare INC
Optometrist in Washington Island, WI. Organization (NPI-2).
NPI number1982136248
StatusActive
Last updated in NPPESMar 28, 2017
Details
- NPI
- 1982136248
- Entity type
- Organization (NPI-2)
- Legal business name
- Nor-Door Island Eyecare INC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2017
- Last updated
- Mar 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2505-35 | WI | Yes |
Practice location
910 Main RdWashington Island, WI 54246-9004
Phone 920-847-3093
Mailing address
910 Main RdWashington Island, WI 54246-9004
Phone 920-847-3093
Authorized official
Caroline S Reiter
Owner
9208473093
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