NPI 1053769547

Hayward Family Eye Care, INC

Organisation Optometrist Hayward, WI

Practice location

Address: 15569 Railroad St Suite 301, Hayward, WI 54843-5706
Phone: (715) 634-8616
Mailing address: 1200 Park Creek CT, Fall Creek, WI 54742-5316

Authorised official

Name: Timothy Frederiksen
Title: Owner/Optometrist
Phone: (715) 271-9899

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2235-35 (WI)

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Registry record

NPI: 1053769547
Entity type: Organization
NPI issued: 25 May 2016
Record last updated: 12 Jan 2017

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.