NPI 1013461771
Vision Mart, INC
Practice location
- Address
- 130 E Capitol Dr, Glendale, WI 53212-1206
- Phone
- (414) 962-6744
- Fax
- (414) 962-6746
- Mailing address
- 12000 W Carmen Ave, Milwaukee, WI 53225-2116
Authorised official
- Name
- Victoria Dickman
- Title
- President
- Phone
- (414) 462-1300
Registered specialties
Optician
Primary
Registry record
- NPI
- 1013461771
- Entity type
- Organization
- NPI issued
- 11 Aug 2016
- Record last updated
- 11 Aug 2016
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.