Jan's Optical LLC

NPI #1053759340 in Waupun, Wisconsin

Provider Information

NPI Number: 1053759340
Entity Type: Organization
Organization Name: Jan's Optical LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 7, 2013
Last Updated: Jun 7, 2013

Practice Location

Address: 223 E MAIN ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-2019
Phone: (920) 324-8608

Authorized Official

Name: MRS. TERESA RUCH
Title: OWNER
Phone: (920) 324-8608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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