Vita Park Eye Associates, SC
Vita Park Eye Associates, SC is an Optometrist in Beaver Dam, Wisconsin. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
240 Corporate DrBeaver Dam, WI 53916
Phone: (920) 887-1151
Fax: (920) 887-3353
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Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X |
|---|---|
| Optometrist | Taxonomy 152W00000X |
Record details
| NPI number | 1154418051 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Castillo — Corporate Officer · (920) 887-1151 |
| NPI enumerated | October 10, 2006 |
| Last updated in NPPES | April 21, 2021 |
| Certification date | April 21, 2021 |
| Mailing address | 240 Corporate Drive, Beaver Dam, WI 53916 |
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Cory A Springstroh, OD
240 Corporate Dr, Beaver Dam, WI 53916-3115 · (920) 887-1151
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Eugene M Swanson, OD
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Vita Park Eye Associates, SC
240 Corporate Dr, Beaver Dam, WI 53916-3115 · (920) 887-1151