Radiant Eyes LLC

NPI #1679316996 in Sussex, Wisconsin

Provider Information

NPI Number: 1679316996
Entity Type: Organization
Organization Name: Radiant Eyes LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 14, 2024
Last Updated: Jul 13, 2024

Practice Location

Address: W248N5233 EXECUTIVE DR UNIT 200
City: Sussex
State: Wisconsin
ZIP Code: 53089-4318
Phone: (262) 304-0080

Authorized Official

Name: DR. NICOLE SHIRLEY AVGOULAS, OD
Title: OPTOMETRIST
Phone: (262) 490-0275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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