Ophthalmology Associates S C

NPI #1689719437 in Hales Corners, Wisconsin

Provider Information

NPI Number: 1689719437
Entity Type: Organization
Organization Name: Ophthalmology Associates S C
Primary Specialty: Ophthalmology
Enumeration Date: Feb 20, 2007
Last Updated: Oct 25, 2007

Practice Location

Address: 6080 S 108TH ST
City: Hales Corners
State: Wisconsin
ZIP Code: 53130-2557
Phone: (414) 425-9002

Authorized Official

Name: DR. GLENN GRAVES, MD
Title: OWNER PARTNER
Phone: (414) 294-4660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Eyewear Supplier	332H00000X
Ophthalmology	207W00000X	Primary

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