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DR. JOSEPH ROMANAK

Eye and Vision Services Providers Optometrist

Provider NPI: 1275687105

Provider Information:
DR. JOSEPH  ROMANAK 
Gender: M
Sole Proprietor

Practice Location:
7323 60TH AVE  KENOSHA, WI 53142-3542 US
Tel: 262-942-9899  Fax: 262-942-0124

Business Mailing Address:
7323 60TH AVE  KENOSHA, WI 53142-3542 US
Tel: 262-942-9899  Fax: 262-942-0124

NPI Information:
NPI: 1275687105
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
WIWI2200
N152WC0802XEye and Vision Services Providers
Optometrist
WIWI2200
N152WL0500XEye and Vision Services Providers
Optometrist
WIWI2200
N152WP0200XEye and Vision Services Providers
Optometrist
WIWI2200
N152WS0006XEye and Vision Services Providers
Optometrist
WIWI2200
N152WV0400XEye and Vision Services Providers
Optometrist
WIWI2200
N152WX0102XEye and Vision Services Providers
Optometrist
WIWI2200

Other Provider Identifiers:

IssuerNumberStateType
TAX ID391760322WI01



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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