Ophthalmology Associates S C

NPI #1255476099 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1255476099
Entity Type: Organization
Organization Name: Ophthalmology Associates S C
Primary Specialty: Ophthalmology
Enumeration Date: Feb 20, 2007
Last Updated: Oct 25, 2007

Practice Location

Address: 2500 W LAYTON AVE
Address 2: SUITE 110
City: Milwaukee
State: Wisconsin
ZIP Code: 53221-5420
Phone: (414) 281-0424

Authorized Official

Name: DR. GLENN E GRAVES, MD
Title: OWNER PARTNER
Phone: (414) 294-4660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Eyewear Supplier	332H00000X
Ophthalmology	207W00000X	Primary

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