Ea Sanders, Od LLC

NPI #1326441387 in Wausau, Wisconsin

Provider Information

NPI Number: 1326441387
Entity Type: Organization
Organization Name: Ea Sanders, Od LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 6, 2014
Last Updated: Oct 6, 2014

Practice Location

Address: 2509 BUFFLEHEAD AVE
City: Wausau
State: Wisconsin
ZIP Code: 54401-9191
Phone: (715) 573-7222

Authorized Official

Name: ELIZABETH A BERGO, O.D.
Title: OPTOMETRIST
Phone: (715) 573-7222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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