Advanced Family Eyecare

NPI #1578640223 in Waupaca, Wisconsin

Provider Information

NPI Number: 1578640223
Entity Type: Organization
Organization Name: Advanced Family Eyecare
Primary Specialty: Optometrist
Enumeration Date: Nov 1, 2006
Last Updated: Jul 18, 2011

Practice Location

Address: 308 W FULTON ST
City: Waupaca
State: Wisconsin
ZIP Code: 54981-1422
Phone: (715) 258-8168

Authorized Official

Name: DR. DANIEL R EVERTS, OD
Title: OWNER/PRESIDENT
Phone: (715) 258-8168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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