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 53916-3115
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 | 1447276894 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Vita Park Eye Associates, SC |
| Authorized official | Thomas Castillo — Corporation Officer · (920) 887-1151 |
| Other names | The Beaver Dam Eye Clinic; The Beaver Dam Eye Clinic |
| NPI enumerated | July 15, 2006 |
| Last updated in NPPES | April 21, 2021 |
| Certification date | April 21, 2021 |
| Mailing address | 240 Corporate Dr, Beaver Dam, WI 53916-3115 |
Other providers in Beaver Dam
-
Shoptikal LLC
820 Park Ave Ste I, Beaver Dam, WI 53916-2265 · (920) 887-3791
-
Cory A Springstroh, OD
240 Corporate Dr, Beaver Dam, WI 53916-3115 · (920) 887-1151
-
Eugene M Swanson, OD
207 N Spring St, Beaver Dam, WI 53916-2115 · (920) 887-8831
-
Vita Park Eye Associates, SC
240 Corporate Dr, Beaver Dam, WI 53916 · (920) 887-1151