Oconomowoc Vision Clinic, LLC
NPI #1376724377 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1376724377
- Entity Type
- Organization
- Organization Name
- Oconomowoc Vision Clinic, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 18, 2007
- Last Updated
- May 10, 2013
Practice Location
- Address
- 1674 OLD SCHOOLHOUSE RD
- Address 2
- SUITE 101
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-1396
- Phone
- (262) 567-2295
Authorized Official
- Name
- DAVID MARK BJORK, O.D.
- Title
- OWNER/OPTOMETRIST
- Phone
- (262) 567-2295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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