institution
Racine Optical Co., Family Vision Care, Inc
Public Health or Welfare Agency in Racine, Wisconsin
NPI 1659492254

Racine Optical Co., Family Vision Care, Inc is a Public Health or Welfare Agency based in Racine, WI. Racine Optical Co., Family Vision Care, Inc practices in Racine, WI. The NPI Number for Racine Optical Co., Family Vision Care, Inc is 1659492254 and holds a License No. 2220 (Wisconsin).

The current practice location address for Racine Optical Co., Family Vision Care, Inc is 217 6Th St, Racine, WI and can be reached out via phone at 262-634-4430 and via fax at 262-634-1890.

Location: 217 6Th St, Racine, WI, 53403-1213
institution
Provider Profile Details
NPI Number
1659492254
Provider Name
Racine Optical Co., Family Vision Care, Inc
Credential
Provider Entity Type
Organization
Address
217 6Th St, Racine, WI, 53403-1213
Phone Number
262-634-4430
Fax Number
262-634-1890
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38574400 05 WI
000047405 01 WI MEDICARE GROUP NUMBER
DG4459 01 WI RAILROAD MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
217 6Th St
City
State
Zip
53403-1213
Phone Number
262-634-4430
Fax Number
262-634-1890
person
Provider Business Mailing Address Details
Address
217 6Th St
City
State
Zip
53403-1213
Phone Number
262-634-4430
Fax Number
262-634-1890
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
License No.
2220 (Wisconsin)
Definition
Definition to come...
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