SE Professionals, S.c.

NPI #1770653453 in Mequon, Wisconsin

Provider Information

NPI Number: 1770653453
Entity Type: Organization
Organization Name: SE Professionals, S.c.
Primary Specialty: Optometrist
Enumeration Date: Nov 9, 2006
Last Updated: Oct 31, 2012

Practice Location

Address: 10800 N PORT WASHINGTON RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-5007
Phone: (262) 241-4848

Authorized Official

Name: DAVID AYMOND, MD
Title: OWNER
Phone: (920) 467-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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