NPI 1356465785

Sheboygan Optical Co. LLC

Organisation Eyewear Supplier Sheboygan, WI

Practice location

Address: 1442 N 31st St, Sheboygan, WI 53081-3061
Phone: (920) 458-5096
Fax: (920) 451-1085

Authorised official

Name: Christopher Larson
Title: Owner
Phone: (920) 458-5096

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

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Registry record

NPI: 1356465785
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 8 Jul 2014

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.