Dr Wagner Southridge Optical Llc in Greendale - Eyewear Supplier
Dr Wagner Southridge Optical Llc - NPI 1255591236
Dr Wagner Southridge Optical Llc is a Eyewear Supplier in Greendale, Wisconsin. Dr Wagner Southridge Optical Llc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Dr Wagner Southridge Optical Llc is 1255591236. The last update date is 2009-08-17.
Dr Wagner Southridge Optical Llc's current location address is 5300 S 76th St, Greendale, Wisconsin. You can contact this provider via phone number 4148550469 and fax number 4148550492. The mailing address for Dr Wagner Southridge Optical Llc is 5300 S 76th St, Greendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr Wagner Southridge Optical Llc |
|---|---|
| Address | 5300 S 76th St, Greendale, Wisconsin |
| Phone Number | 4148550469 |
| Fax Number | 4148550492 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Serrano E Joan |
| Telephone Number | 4148550469 |
NPI Number Detail
| NPI Number | 1255591236 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2009-08-17 |
Provider Mailing Address Detail
| Address | 5300 S 76th St |
|---|---|
| City | Greendale |
| State | Wisconsin (WI) |
| Post Code | 531291102 |
| Phone Number | 4148550469 |
| Fax Number | 4148550492 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dr Wagner Southridge Optical Llc by the Centers for Medicare & Medicaid Services?
The Dr Wagner Southridge Optical Llc has been issued the NPI (National Provider Identifier) 1255591236, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Dr Wagner Southridge Optical Llc is located?
The Dr Wagner Southridge Optical Llc is situated at the following address: 5300 S 76Th St, Greendale, WI, 531291102.
What is Dr Wagner Southridge Optical Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dr Wagner Southridge Optical Llc is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255591236 to Dr Wagner Southridge Optical Llc?
The Centers for Medicare & Medicaid Services assigned the 1255591236 to Dr Wagner Southridge Optical Llc on 2008-06-12.
As of what date were the details related to Dr Wagner Southridge Optical Llc most recently updated or revised?
The information pertaining to Dr Wagner Southridge Optical Llc, including its address, specialty, and other relevant details, was last updated or revised on 2009-08-17.
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