1 Vision S.c.

NPI #1033197397 in Shawano, Wisconsin

Provider Information

NPI Number: 1033197397
Entity Type: Organization
Organization Name: 1 Vision S.c.
Primary Specialty: Optometrist
Enumeration Date: Jan 6, 2006
Last Updated: May 17, 2022

Practice Location

Address: 150A COUNTY RD B
City: Shawano
State: Wisconsin
ZIP Code: 54166-7072
Phone: (715) 526-3163

Authorized Official

Name: MR. THOMAS G PETERSON, O.D.
Title: O.D. - PRESIDENT
Phone: (715) 526-3163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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