Midline Vision Clinics Sc

NPI #1114157427 in Madison, Wisconsin

Provider Information

NPI Number: 1114157427
Entity Type: Organization
Organization Name: Midline Vision Clinics Sc
Primary Specialty: Optometrist
Enumeration Date: Jul 21, 2009
Last Updated: Jul 12, 2021

Practice Location

Address: 4301 LIEN RD
City: Madison
State: Wisconsin
ZIP Code: 53704
Phone: (608) 327-5382

Authorized Official

Name: DR. JEREMY MICHAEL GOETSCH, O.D.
Title: MANAGER
Phone: (715) 693-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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