INNOVATIVE OPTIQUE NPI 1942477476

NPI Information

INNOVATIVE OPTIQUE is an eyewear supplier in Milwaukee, WI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. INNOVATIVE OPTIQUE NPI is 1942477476. The provider is registered as an organization entity type.

The provider's business location address is:

333 W BROWN DEER RD
MILWAUKEE, WI
ZIP 53217-372
Phone: (414) 228-9873
Fax: (414) 228-9841

The provider's authorized official is Guadalupe Aguilar .
The authorized official title is Owner and has the following contact phone number (414) 228-9873.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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