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Contact Information

NORTHERN SIGHT VISION CLINIC, LLC
318 N. 6TH STREET
TOMAHAWK, WI54487
 Phone: 715-453-3636
 Fax: 715-453-3011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NORTHERN SIGHT VISION CLINIC LLC · (Female)

NPI Number 1972723716
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2007
Last updated 04/29/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 2911
  • WI Medicaid 38564600
  • WI Medicaid 38618200
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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