Lake Country Eye Care, LLC

NPI #1457757288 in Hartland, Wisconsin

Provider Information

NPI Number: 1457757288
Entity Type: Organization
Organization Name: Lake Country Eye Care, LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 5, 2014
Last Updated: Jun 30, 2015

Practice Location

Address: 520 HARTBROOK DR STE F
City: Hartland
State: Wisconsin
ZIP Code: 53029-1402
Phone: (262) 367-6610

Authorized Official

Name: DR. AMBER A DENTZ, O.D.
Title: OPTOMETRIST/OWNER
Phone: (262) 367-6610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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