OrganizationActive
Stewart Avenue Optical, Inc.
NPI 1780704049 · Eye Bank · Wausau, WI
Provider details
- NPI number
- 1780704049
- Entity type
- Organization
- Primary specialty
- Eye BankSuppliers
- Authorized official
- Nicole Lyons, President
- License
- 2629 (WI)
Practice location
2100 Stewart Ave Ste 120
Wausau, WI 54401-1707
Phone: (715) 845-1988
Fax: (715) 842-8793
Mailing address
2100 Stewart Ave Ste 120
Wausau, WI 54401-1707
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.