Summit Eye Clinic Sc

NPI #1679520845 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1679520845
Entity Type: Organization
Organization Name: Summit Eye Clinic Sc
Primary Specialty: Optometrist
Enumeration Date: May 31, 2006
Last Updated: Mar 11, 2011

Practice Location

Address: 608 EAST SUMMIT AVE
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066-3841
Phone: (262) 567-6565

Authorized Official

Name: RANDY J PRESTASH, OD
Title: PRESIDENT
Phone: (262) 567-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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