SE Professionals Sc

NPI #1558445197 in Fox Point, Wisconsin

Provider Information

NPI Number: 1558445197
Entity Type: Organization
Organization Name: SE Professionals Sc
Primary Specialty: Optometrist
Enumeration Date: Oct 24, 2006
Last Updated: Oct 31, 2012

Practice Location

Address: 8693 N PORT WASHINGTON RD
City: Fox Point
State: Wisconsin
ZIP Code: 53217
Phone: (414) 351-2020

Authorized Official

Name: DAVID KING AYMOND, MD
Title: OWNER
Phone: (920) 467-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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