NPI 1780198515

Optical Fashions LTD

Organisation Optometrist Holmen, WI

Practice location

Address: 814 S Main St STE a, Holmen, WI 54636-9632
Phone: (608) 782-7127
Fax: (608) 399-3097
Mailing address: 2104 State Road 16, La Crosse, WI 54601-3046

Authorised official

Name: Suzanne M Ekhoff
Title: Insurance Manager
Phone: (608) 782-7127

Registered specialties (4)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2705 (WI)

Other Optometrist providers in Wisconsin →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3116 (WI)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3129 (WI)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3359 (WI)

Registry record

NPI: 1780198515
Entity type: Organization
NPI issued: 1 Dec 2017
Record last updated: 1 Dec 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.