NPI 1407548381

Amy Kay Thor, ABOC

Practitioner Optician Manitowoc, WI

Practice location

Address: 4115 Calumet Ave, Manitowoc, WI 54220-5491
Phone: (920) 652-9674
Fax: (920) 652-9679

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Wisconsin →

Registry record

NPI: 1407548381
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2023
Record last updated: 22 May 2023

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.