Antigo Eye Care Center

NPI #1457459836 in Antigo, Wisconsin

Provider Information

NPI Number: 1457459836
Entity Type: Organization
Organization Name: Antigo Eye Care Center
Primary Specialty: Optometrist
Enumeration Date: Sep 20, 2006
Last Updated: Jul 10, 2008

Practice Location

Address: 810 5TH AVE
City: Antigo
State: Wisconsin
ZIP Code: 54409-1937
Phone: (715) 623-3620

Authorized Official

Name: MARY KAY BARTLETTE
Title: OFFICE MANAGER
Phone: (715) 623-3620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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