Optical Dept. of Eye Clinic of Racine, Ltd.

NPI #1629049150 in Racine, Wisconsin

Provider Information

NPI Number: 1629049150
Entity Type: Organization
Organization Name: Optical Dept. of Eye Clinic of Racine, Ltd.
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3805A SPRING ST
Address 2: SUITE 111
City: Racine
State: Wisconsin
ZIP Code: 53405-1600
Phone: (262) 637-9615

Authorized Official

Name: MS. JOYCE L SAWASKY
Title: BUSINESS MANAGER
Phone: (262) 637-9615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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