Eye to Eye Optical

NPI #1083903769 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1083903769
Entity Type: Organization
Organization Name: Eye to Eye Optical
Primary Specialty: Eyewear Supplier
Enumeration Date: Apr 1, 2011
Last Updated: Apr 1, 2011

Practice Location

Address: 1659 N SPRING ST STE 101B
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-1280
Phone: (920) 885-3318

Authorized Official

Name: MR. JOHN PATRICK BELLOTTI II, OPTICIAN
Title: MEMBER
Phone: (414) 491-0397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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