DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR WAGNER SOUTHRIDGE OPTICAL LLC

Active Organization

DR WAGNER SOUTHRIDGE OPTICAL LLC is a Eyewear Supplier organization located in GREENDALE, Wisconsin. NPI 1255591236 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · GREENDALE, WI

Registration Details

NPI Number
1255591236
Provider Type
Organization
NPI Issued
Jun 12, 2008 (18.166350445032 yrs)
Last Updated
Aug 17, 2009

Practice Information

Address
5300 S 76TH ST
STE 690
GREENDALE, WI, 531291102
Browse WI providers · Browse ZIP 53129
Phone
4148550469
Fax
4148550492
Primary Specialty
Eyewear Supplier
332H00000X

Other Eyewear Supplier Organizations in GREENDALE, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.