NPI 1053447474

Shorewood Opticians

Organisation Eyewear Supplier Milwaukee, WI

Practice location

Address: 5150 N Port Washington Rd #251, Milwaukee, WI 53217-5474
Phone: (414) 332-0606
Fax: (414) 967-3604

Authorised official

Name: Kenneth S Fabric
Title: President
Phone: (414) 332-0606

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Wisconsin →

Registry record

NPI: 1053447474
Entity type: Organization
NPI issued: 27 Feb 2007
Record last updated: 22 Aug 2020

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.