Brodhead Vision Clinic, Inc Valid NPI
Organization · Optometrist · Brodhead, WI
- NPI
- 1164416236
- Type
- Organization (Type 2)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 1483-035 (WI)
- Enumerated
- 2005-09-06
- Last updated
- 2014-10-08
Practice location
1005 17th Street
Brodhead, WI 53520
(608) 897-2128