NPI 1003846171

Roxanne Phelps, OD

Practitioner Optometrist Menomonee Falls, WI

Practice location

Address: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810
Phone: (262) 251-7500
Fax: (262) 251-7128
Mailing address: 3003 W Good Hope Rd, Milwaukee, WI 53209-2042

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2388 (WI)

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Registry record

NPI: 1003846171
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jul 2006
Record last updated: 30 Nov 2021

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.