Eye Wisconsin LLC

NPI #1487392585 in Waterford, Wisconsin

Provider Information

NPI Number: 1487392585
Entity Type: Organization
Organization Name: Eye Wisconsin LLC
Primary Specialty: Optometrist
Enumeration Date: May 27, 2022
Last Updated: May 27, 2022

Practice Location

Address: 401 N MILWAUKEE ST STE 3
City: Waterford
State: Wisconsin
ZIP Code: 53185-4493
Phone: (262) 534-9100

Authorized Official

Name: BRADLEY GRANT, OD
Title: OWNER / OPTOMETRIST
Phone: (901) 496-9129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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