Eye Prosthetics of Wisconsin

NPI #1609839497 in Brookfield, Wisconsin

Provider Information

NPI Number
1609839497
Entity Type
Organization
Organization Name
Eye Prosthetics of Wisconsin
Primary Specialty
Technician/Technologist - Ocularist
Enumeration Date
Apr 11, 2006
Last Updated
Feb 19, 2024

Practice Location

Address
13255 W BLUEMOUND RD
Address 2
101
ZIP Code
53005-6245
Phone
(262) 754-3681

Authorized Official

Name
MRS. SUSAN TYNES, B.C.O.
Title
OCULARIST
Phone
(262) 754-3681

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OcularistOcularist

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