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Contact Information

MALLORY F ANDREWS, OD
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI53081-3129
 Phone: 920-459-1102
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
Indicates primary specialty

NPI Profile & details for MALLORY F ANDREWS · (Female)

NPI Number 1780177675
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/14/2018
Last updated 11/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 3506-35
  • WI Medicaid 100080361
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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