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Dr Wagner Southridge Optical Llc
Eyewear Supplier in Greendale, Wisconsin
NPI 1255591236

Dr Wagner Southridge Optical Llc is a Eyewear Supplier based in Greendale, WI. Dr Wagner Southridge Optical Llc practices in Greendale, WI. The NPI Number for Dr Wagner Southridge Optical Llc is 1255591236 and holds a License No. (Wisconsin).

The current practice location address for Dr Wagner Southridge Optical Llc is 5300 S 76Th St, Greendale, WI and can be reached out via phone at 414-855-0469 and via fax at 414-855-0492.

Location: 5300 S 76Th St, Greendale, WI, 53129-1102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255591236
Provider Name
Dr Wagner Southridge Optical Llc
Credential
Provider Entity Type
Organization
Address
5300 S 76Th St, Greendale, WI, 53129-1102
Phone Number
414-855-0469
Fax Number
414-855-0492
Provider Enumeration Date
06/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5300 S 76Th St
City
Greendale
State
Wisconsin
Zip
53129-1102
Phone Number
414-855-0469
Fax Number
414-855-0492
person
Provider Business Mailing Address Details
Address
5300 S 76Th St
City
Greendale
State
Wisconsin
Zip
53129-1102
Phone Number
414-855-0469
Fax Number
414-855-0492
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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