| Organization Name: | CENTER OPTICAL, INC. |
| NPI Number: | 1194736892 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDY ANN HEIN (VICE PRESIDENT/CFO) |
| Mailing Address: | 132 N Central Ave Richland Center |
| State: | WI US |
| Postal Code: | 535812225 |
| Phone Number: | 6086477369 |
| Fax Number: | 6086472292 |
| NPI Enumeration Date: | 08/10/2006 |
| NPI Last Update Date: | 01/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 03945 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |