52D2137259 CLIA NUMBER - DAVID W KISIOLEK OD SC

Laboratory Demographics

CLIA Number: 52D2137259

Facility Name: DAVID W KISIOLEK OD SC

Facility Address:
300 AUDUBON RD
HOWARDS GROVE, WI
ZIP 53083
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Facility Phone Number: 920 565-3991

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1285748459

Taxonomy: 152W00000X - Optometrist
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

CLIA Record

Field Name Field Value
CLIA Number 52D2137259
LAB Type Practitioner Other
Facility Name DAVID W KISIOLEK OD SC
Street 300 AUDUBON RD
City HOWARDS GROVE
State WI
ZIP 53083
Phone 920 565-3991
CertificateType 4
CertificateEffectiveDate 6/28/2023
CertificateExpirationDate 6/27/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024