Family Vision & Contact Lens Ctrs Sc

NPI #1972778140 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1972778140
Entity Type: Organization
Organization Name: Family Vision & Contact Lens Ctrs Sc
Subpart: Yes (part of a larger organization)
Parent Organization: FAMILY VISION & CONTACT LENS CTRS SC
Primary Specialty: Optometrist
Enumeration Date: Apr 28, 2008
Last Updated: Jan 25, 2010

Practice Location

Address: 8469 S HOWELL AVE
Address 2: #2
City: Oak Creek
State: Wisconsin
ZIP Code: 53154
Phone: (414) 768-0110

Authorized Official

Name: DR. ROBERT LAWRENCE FAIT, OD
Title: OWNER
Phone: (262) 763-0117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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