I C 20 20 Eau Claire INC
NPI #1487710539 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1487710539
- Entity Type
- Organization
- Organization Name
- I C 20 20 Eau Claire INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 30, 2006
- Last Updated
- Jan 16, 2014
Practice Location
- Address
- 4054 COMMONWEALTH AVE
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54701-9000
- Phone
- (715) 833-1220
Authorized Official
- Name
- JOHN DELAKIS
- Title
- OWNER MANAGER
- Phone
- (715) 833-1220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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