Optimal Vision Health, LLC

NPI #1215312343 in Hartford, Wisconsin

Provider Information

NPI Number: 1215312343
Entity Type: Organization
Organization Name: Optimal Vision Health, LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 30, 2015
Last Updated: Jul 30, 2015

Practice Location

Address: 1489 E SUMNER ST
City: Hartford
State: Wisconsin
ZIP Code: 53027-2606
Phone: (262) 673-7737

Authorized Official

Name: MICHELLE KWON, O.D.
Title: OWNER
Phone: (414) 345-0547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Contact Lens Fitter — Contact Lens Fitter	156FC0801X
Technician/Technologist - Optician — Optician	156FX1800X
Optometrist	152W00000X	Primary

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