SUSON OPTICAL CORPORATION NPI 1598889727

NPI Information

SUSON OPTICAL CORPORATION is an eyewear supplier in Wauwatosa, WI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SUSON OPTICAL CORPORATION NPI is 1598889727. The provider is registered as an organization entity type.

The provider's business location address is:

2300 N MAYFAIR RD
SUITE 1101
WAUWATOSA, WI
ZIP 53226-505
Phone: (414) 443-5289
Fax: (414) 475-5550

The provider's authorized official is John D Suson .
The authorized official title is President and has the following contact phone number (414) 475-5550.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 12/21/2012.

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:

Other Identifiers

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