Ophthalmology Associates S C

NPI #1063557890 in Cudahy, Wisconsin

Provider Information

NPI Number: 1063557890
Entity Type: Organization
Organization Name: Ophthalmology Associates S C
Primary Specialty: Ophthalmology
Enumeration Date: Feb 20, 2007
Last Updated: Apr 23, 2024

Practice Location

Address: 6020 S PACKARD AVE
City: Cudahy
State: Wisconsin
ZIP Code: 53110-3028
Phone: (414) 294-4660

Authorized Official

Name: DR. GLENN E GRAVES, MD
Title: PARTNER OWNER
Phone: (414) 294-4660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Eyewear Supplier	332H00000X
Ophthalmology	207W00000X	Primary

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