Great Lakes Family Vision Sc

NPI #1437485125 in Saukville, Wisconsin

Provider Information

NPI Number
1437485125
Entity Type
Organization
Organization Name
Great Lakes Family Vision Sc
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 30, 2009
Last Updated
Dec 11, 2009

Practice Location

Address
289 E GREEN BAY AVE
ZIP Code
53080-2006
Phone
(262) 268-2007

Authorized Official

Name
DR. STUART WADE NATALE, O.D.
Title
OWNER/ OPTOMETRIST
Phone
(262) 268-2007

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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