West Bend Optical, INC

NPI #1023138922 in West Bend, Wisconsin

Provider Information

NPI Number: 1023138922
Entity Type: Organization
Organization Name: West Bend Optical, INC
Primary Specialty: Technician/Technologist
Enumeration Date: Apr 2, 2007
Last Updated: Aug 13, 2010

Practice Location

Address: 3720 W. WASHINGTON ST.
City: West Bend
State: Wisconsin
ZIP Code: 53095-8406
Phone: (262) 338-1800

Authorized Official

Name: MRS. SANDRA H. OLSON
Title: VP
Phone: (262) 338-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Technician/Technologist	156F00000X	Primary

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