NPI 1073710968

Medical Eye Clinic of Eau Claire

Organisation Eyewear Supplier Eau Claire, WI

Practice location

Address: 2715 Damon St Suite 200, Eau Claire, WI 54701-2634
Phone: (715) 834-5644
Fax: (715) 834-5674

Authorised official

Name: Roy a Olson
Title: Owner
Phone: (715) 834-5644

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 17337 (WI)

Other Eyewear Supplier providers in Wisconsin →

Registry record

NPI: 1073710968
Entity type: Organization
NPI issued: 2 Jul 2007
Record last updated: 21 Apr 2015

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.