Organization Name: | ASSOCIATED EYE CARE OPTICAL LLC |
NPI Number: | 1205214236 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK S FISHER (EXCEUTIVE DIRECTOR) |
Mailing Address: | 411 Stageline Road Suite 200 Hudson |
State: | WI US |
Postal Code: | 540167848 |
Phone Number: | 6512753000 |
Fax Number: | 6512753027 |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |