OrganizationActive
1 Vision S.c.
NPI 1033197397 · Optometrist · Shawano, WI
Provider details
- NPI number
- 1033197397
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Authorized official
- Thomas Peterson, O.D. - President
- License
- 2324 (WI)
Practice location
150a County Rd B
Shawano, WI 54166-7072
Phone: (715) 526-3163
Fax: (715) 526-4019
Mailing address
Po Box 513
Shawano, WI 54166-0513
Registry dates
- Enumerated
- 2006-01-06
- Last updated
- 2022-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.