IndividualActive
Adam Sangermano, ABOC
NPI 1619669942 · Optician · Pewaukee, WI
Provider details
- NPI number
- 1619669942
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- ABOC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 236760 (WI)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
411 Pewaukee Rd
Pewaukee, WI 53072-5886
Phone: (262) 695-3191
Fax: (262) 695-3806
Approximate (ZIP-level) locationGet directions
Mailing address
1625 E Sunset Dr Apt 108
Waukesha, WI 53189-8215
Registry dates
- Enumerated
- 2023-05-24
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.