NPI 1003925892

Eye Clinic of the Fox Valley Sc

Organisation Optometrist Oshkosh, WI

Practice location

Address: 503 Doctors CT, Oshkosh, WI 54901-2025
Phone: (920) 236-3540
Fax: (920) 236-3558

Authorised official

Name: Stephen S Dudley
Title: President
Phone: (920) 236-3540

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TPA2317 (WI)

Other Optometrist providers in Wisconsin →

Registry record

NPI: 1003925892
Entity type: Organization
NPI issued: 29 Aug 2006
Record last updated: 16 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.