Dr Wagner Southridge Optical LLC
Dr Wagner Southridge Optical LLC is an Eyewear Supplier in Greendale, Wisconsin. Registered with an NPI since 2008.
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5300 S 76th St Ste 690Greendale, WI 53129-1102
Phone: (414) 855-0469
Fax: (414) 855-0492
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X |
|---|
Record details
| NPI number | 1255591236 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joan Serrano — Manager · (414) 855-0469 |
| NPI enumerated | June 12, 2008 |
| Last updated in NPPES | August 17, 2009 |
| Mailing address | 5300 S 76th St, Ste 690, Greendale, WI 53129-1102 |
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