Samuelson Eyecare LLC

NPI #1710072939 in Mount Horeb, Wisconsin

Provider Information

NPI Number: 1710072939
Entity Type: Organization
Organization Name: Samuelson Eyecare LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 4, 2006
Last Updated: Oct 1, 2010

Practice Location

Address: 428 WEST MAIN ST
City: Mount Horeb
State: Wisconsin
ZIP Code: 53572-2103
Phone: (608) 437-3377

Authorized Official

Name: LAUREN TA-SAMUELSON, OD
Title: OPTOMETRIST
Phone: (608) 437-3377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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