Myeyedr Optometry of Wisconsin, LLC

NPI #1164984019 in Mequon, Wisconsin

Provider Information

NPI Number: 1164984019
Entity Type: Organization
Organization Name: Myeyedr Optometry of Wisconsin, LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 1, 2019
Last Updated: Nov 8, 2019

Practice Location

Address: 10800 N PORT WASHINGTON RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-5007
Phone: (262) 241-4848

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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