NPI 1497034078

Allied Family Eye Care

Organisation Exclusive Provider Organization Waukesha, WI

Practice location

Address: 1643 Arcadian Ave, Waukesha, WI 53186-5391
Phone: (414) 559-8915
Mailing address: PO Box 992, Waukesha, WI 53187-0992

Authorised official

Name: Tracy Buege
Title: Manager
Phone: (414) 559-8915

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 2653 (WI)

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Registry record

NPI: 1497034078
Entity type: Organization
NPI issued: 12 Aug 2011
Record last updated: 12 Aug 2011

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.