Myeyedr Optometry of Wisconsin, LLC

NPI #1083176952 in Fredonia, Wisconsin

Provider Information

NPI Number: 1083176952
Entity Type: Organization
Organization Name: Myeyedr Optometry of Wisconsin, LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 1, 2019
Last Updated: Jul 11, 2019

Practice Location

Address: 120 MARTIN DR
City: Fredonia
State: Wisconsin
ZIP Code: 53021-9455
Phone: (262) 692-9000

Authorized Official

Name: SUE DOWNES
Title: SECRETARY
Phone: (703) 847-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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