Crandon Vision Center

NPI #1861590200 in Crandon, Wisconsin

Provider Information

NPI Number: 1861590200
Entity Type: Organization
Organization Name: Crandon Vision Center
Primary Specialty: Optometrist
Enumeration Date: Sep 20, 2006
Last Updated: Jul 10, 2008

Practice Location

Address: 103 E WASHINGTON ST
City: Crandon
State: Wisconsin
ZIP Code: 54520-1392
Phone: (715) 478-2401

Authorized Official

Name: JEAN ANN WHITT-BARKER
Title: OFFICE MANAGER
Phone: (715) 478-2401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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