Eye Wisconsin LLC

NPI #1396423273 in Sun Prairie, Wisconsin

Provider Information

NPI Number: 1396423273
Entity Type: Organization
Organization Name: Eye Wisconsin LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EYE WISCONSIN LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 10, 2023
Last Updated: Jul 10, 2023

Practice Location

Address: 1721 W MAIN ST
City: Sun Prairie
State: Wisconsin
ZIP Code: 53590-3161
Phone: (608) 837-7325

Authorized Official

Name: DR. BRADLEY GRANT, OD
Title: OWNER
Phone: (217) 233-3101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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