Organization · Type 2 NPI

St. Marys Dean Ventures Inc.

Eyewear Supplier · Boscobel, WI

NPI number 1093751653 Active

Practice location

310 Parker St
Boscobel, WI 53805-1633

Fax (608) 375-6011

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: 1093751653
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 Boscobel · doing business as
Davis Duehr Dean Boscobel · doing business as

Authorized official

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

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About NPI 1093751653

St. Marys Dean Ventures Inc.'s National Provider Identifier is 1093751653, issued on Jun 21, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Boscobel, WI. The record was last updated on Oct 29, 2021.