Shorewood Opticians

NPI #1053447474 in Milwaukee, Wisconsin

Provider Information

NPI Number
1053447474
Entity Type
Organization
Organization Name
Shorewood Opticians
Primary Specialty
Eyewear Supplier
Enumeration Date
Feb 27, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
5150 N PORT WASHINGTON RD
Address 2
#251
ZIP Code
53217-5474
Phone
(414) 332-0606

Authorized Official

Name
KENNETH S FABRIC, M.D.
Title
PRESIDENT
Phone
(414) 332-0606

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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