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St. Marys Dean Ventures Inc.
Eyewear Supplier in Montello, Wisconsin
NPI 1417993072

St. Marys Dean Ventures Inc. is a Eyewear Supplier based in Montello, WI. St. Marys Dean Ventures Inc. practices in Montello, WI. The NPI Number for St. Marys Dean Ventures Inc. is 1417993072 and holds a License No. (Wisconsin).

The current practice location address for St. Marys Dean Ventures Inc. is 215B Church St, Montello, WI and can be reached out via phone at 608-297-2501 and via fax at 608-297-2648.

Location: 215B Church St, Montello, WI, 53949-9763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417993072
Provider Name
St. Marys Dean Ventures Inc.
Credential
Provider Entity Type
Organization
Address
215B Church St, Montello, WI, 53949-9763
Phone Number
608-297-2501
Fax Number
608-297-2648
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38715400 05 WI
556775 01 WI DEAN HEALTH INSURANCE
137082509 01 WI OFFICE OF WORKERS COMP
14699 01 WI NATIONAL VISION ADMINISTR
20385 01 WI SPECTERA
054014 01 WI VISION INS PLAN OF AMERIC
institution
Provider Business Practice Location Address Details
Address
215B Church St
City
Montello
State
Wisconsin
Zip
53949-9763
Phone Number
608-297-2501
Fax Number
608-297-2648
person
Provider Business Mailing Address Details
Address
215B Church St
City
Montello
State
Wisconsin
Zip
53949-9763
Phone Number
608-297-2501
Fax Number
608-297-2648
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
(Wisconsin)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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