Siren Family Eyecare, LLC

NPI #1063616571 in Siren, Wisconsin

Provider Information

NPI Number: 1063616571
Entity Type: Organization
Organization Name: Siren Family Eyecare, LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 11, 2007
Last Updated: Jun 21, 2011

Practice Location

Address: 24082 STATE ROAD 35
City: Siren
State: Wisconsin
ZIP Code: 54872
Phone: (715) 349-2733

Authorized Official

Name: DR. BRIAN DARRELL SMITH, O.D.
Title: MEMBER
Phone: (715) 349-2733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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