Organization · Type 2 NPI

St. Marys Dean Ventures Inc.

Eyewear Supplier · Jefferson, WI

NPI number 1083650642 Active

Practice location

144 W Garland St
Jefferson, WI 53549-2029

Fax (920) 674-6030

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

NPI record

NPI: 1083650642
Entity type: Organization (Type 2)
Issued: Jun 21, 2006
Last updated: Oct 29, 2021
Status: Active
Subpart: Yes of St. Marys Dean Ventures Inc.

Other names

<unavail>
Davis Duehr Dean Jefferson · doing business as
Davis Duehr Dean Jefferson · doing business as

Authorized official

Amy J Grinnell
Chief Financial Officer
(608) 260-3586

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About NPI 1083650642

St. Marys Dean Ventures Inc.'s National Provider Identifier is 1083650642, issued on Jun 21, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Jefferson, WI. The record was last updated on Oct 29, 2021.