Beloit Family Eye Care S.c.

NPI #1780976647 in Beloit, Wisconsin

Provider Information

NPI Number
1780976647
Entity Type
Organization
Organization Name
Beloit Family Eye Care S.c.
Primary Specialty
Optometrist
Enumeration Date
May 11, 2011
Last Updated
Aug 17, 2011

Practice Location

Address
540 E GRAND AVE
City
Beloit
ZIP Code
53511-6314
Phone
(608) 365-8575

Authorized Official

Name
DR. DOUGLAS EDWARD KELLEY, OD
Title
MANAGER
Phone
(608) 365-8575

Specialties & Taxonomy Codes

Specialty
Optometrist

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