Family Vision & Contact Lens Ctrs Sc

NPI #1376718536 in Mukwonago, Wisconsin

Provider Information

NPI Number: 1376718536
Entity Type: Organization
Organization Name: Family Vision & Contact Lens Ctrs Sc
Subpart: Yes (part of a larger organization)
Parent Organization: FAMILY VISION & CONTACT LENS CTRS SC
Primary Specialty: Optometrist
Enumeration Date: Apr 28, 2008
Last Updated: Apr 9, 2012

Practice Location

Address: 920 GREENWALD CT
Address 2: SUITE 300
City: Mukwonago
State: Wisconsin
ZIP Code: 53149-1711
Phone: (262) 363-1717

Authorized Official

Name: DR. ROBERT LAWRENCE FAIT, OD
Title: OWNER
Phone: (262) 763-0117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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