Provider Demographics
NPI:1831278233
Name:POINT OF VIEW OPTICAL GALLERY, INC.
Entity type:Organization
Organization Name:POINT OF VIEW OPTICAL GALLERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:YEAGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:262-797-9730
Mailing Address - Street 1:2849 N BROOKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-3339
Mailing Address - Country:US
Mailing Address - Phone:262-797-9730
Mailing Address - Fax:262-797-8370
Practice Address - Street 1:2849 N BROOKFIELD RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-3339
Practice Address - Country:US
Practice Address - Phone:262-797-9730
Practice Address - Fax:262-797-8370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2530-035332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI5223380001OtherDMEPOS SUPPLIER NUMBER