Northeast Wisconsin Vision Center, Ltd.

NPI #1295715415 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1295715415
Entity Type: Organization
Organization Name: Northeast Wisconsin Vision Center, Ltd.
Primary Specialty: Ophthalmology
Enumeration Date: Jan 23, 2006
Last Updated: Jan 16, 2024

Practice Location

Address: 2130 S WASHBURN ST
City: Oshkosh
State: Wisconsin
ZIP Code: 54904-8949
Phone: (920) 232-6550

Authorized Official

Name: ERIC M LARSON, M.D.
Title: PRESIDENT
Phone: (920) 232-6550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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