NPI 1114056983
Vision Mart, INC
Practice location
- Address
- 930 Gateway CT, West Bend, WI 53095-8538
- Phone
- (262) 306-1400
- Mailing address
- 12000 W Carmen Ave, Milwaukee, WI 53225-2116
Authorised official
- Name
- Vicki Dickman
- Title
- Pres
- Phone
- (414) 462-1300
Registered specialties
Optician
Primary
Registry record
- NPI
- 1114056983
- Entity type
- Organization
- NPI issued
- 5 Mar 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.