Optometric Services, S.c.

NPI #1306029616 in Little Chute, Wisconsin

Provider Information

NPI Number: 1306029616
Entity Type: Organization
Organization Name: Optometric Services, S.c.
Primary Specialty: Optometrist
Enumeration Date: Dec 10, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 607 WILSON ST
City: Little Chute
State: Wisconsin
ZIP Code: 54140-1856
Phone: (920) 788-4162

Authorized Official

Name: DR. JOHN ELMER SALISBURY, O.D.
Title: OWNER / PRESIDENT
Phone: (920) 788-4162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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