DR WAGNER SOUTHRIDGE OPTICAL LLC
Eyewear Supplier
Active
Organization
NPI: 1255591236
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes | - |
Frequently Asked Questions
NPI 1255591236 is the National Provider Identifier for DR WAGNER SOUTHRIDGE OPTICAL LLC, a Eyewear Supplier provider located in Greendale, WI. This NPI was enumerated on June 12, 2008.
Quick Facts
- NPI
- 1255591236
- Type
- Organization
- Enumerated
- Jun 12, 2008
- Last Updated
- Aug 17, 2009
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