NPI 1497220107

Linda Thieme, COT

Practitioner Ophthalmic Technician/Technologist Green Bay, WI

Practice location

Address: 2253 W Mason St STE 100, Green Bay, WI 54303-4706
Phone: (920) 327-7000
Mailing address: 164 N Broadway, Green Bay, WI 54303-2728

Registered specialties

Ophthalmic Technician/Technologist Primary

Eye and Vision Services Providers Taxonomy 156FX1100X

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Registry record

NPI: 1497220107
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2018
Record last updated: 12 Oct 2018

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.