Essential Family Vision Care, S.c.

NPI #1205953866 in De Forest, Wisconsin

Provider Information

NPI Number: 1205953866
Entity Type: Organization
Organization Name: Essential Family Vision Care, S.c.
Primary Specialty: Optometrist
Enumeration Date: Mar 26, 2007
Last Updated: Apr 13, 2009

Practice Location

Address: 101 S. MAIN ST
City: De Forest
State: Wisconsin
ZIP Code: 53532
Phone: (608) 846-5625

Authorized Official

Name: DR. JULIA B. EDWARDS, O.D.
Title: PRESIDENT
Phone: (608) 846-5625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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