Packerland Eyecare, LLC

NPI #1922678200 in Appleton, Wisconsin

Provider Information

NPI Number: 1922678200
Entity Type: Organization
Organization Name: Packerland Eyecare, LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 29, 2021
Last Updated: Jun 29, 2021

Practice Location

Address: 1800 S KENSINGTON DR
City: Appleton
State: Wisconsin
ZIP Code: 54915-4136
Phone: (920) 738-1883

Authorized Official

Name: DR. SARAH DIERKS, OD
Title: OWNER/OPTOMETRIST
Phone: (920) 540-1243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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