Eyeglass Shopp LLC

NPI #1750945028 in Ashland, Wisconsin

Provider Information

NPI Number
1750945028
Entity Type
Organization
Organization Name
Eyeglass Shopp LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Apr 23, 2019
Last Updated
Apr 23, 2019

Practice Location

Address
200 MAIN ST W
ZIP Code
54806-1606
Phone
(715) 682-8181

Authorized Official

Name
ROBERT JOSEPH BAILEN, ABOC
Title
MEMBER/OPTICIAN
Phone
(715) 682-8181

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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