| Organization Name: | JANET S WHITE |
| NPI Number: | 1326143157 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANET SUSAN WHITE (OWNER) |
| Mailing Address: | 223 E Main St Waupun |
| State: | WI US |
| Postal Code: | 539630163 |
| Phone Number: | 9203248608 |
| Fax Number: | 9203248699 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optometric Technician |
| Taxonomy Definition: | |