262 EYES

NPI: 1114793460 · Organization · Active

Primary Specialty

Clinic/Center

Practice Location

5701 N LYDELL AVE
GLENDALE, WI 53217-4537 Map ↗
Phone: 414-516-1238
Fax: 414-246-1989

All Specialties & Licenses

  • Clinic/Center Primary

NPI Registration

Enumerated: 2023-11-28

Last CMS Update: 2023-11-28