IndividualActive
Amy Thor, ABOC
NPI 1407548381 · Optician · Manitowoc, WI
Provider details
- NPI number
- 1407548381
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- ABOC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
4115 Calumet Ave
Manitowoc, WI 54220-5491
Phone: (920) 652-9674
Fax: (920) 652-9679
Approximate (ZIP-level) locationGet directions
Mailing address
4115 Calumet Ave
Manitowoc, WI 54220-5491
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.