Peter W Holm, MD | |
2525 County Highway I, Chippewa Falls, WI 54729 | |
(715) 723-9375 | |
(715) 723-1092 |
Full Name | Peter W Holm |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 2525 County Highway I, Chippewa Falls, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295844983 | NPI | - | NPPES |
30382200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 22003020 (Wisconsin) | Primary |
Entity Name | Chippewa Valley Eye Clinic Chippewa Falls Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487710638 PECOS PAC ID: 0446395800 Enrollment ID: O20100310000179 |
Mailing Address | Practice Location Address |
---|---|
Peter W Holm, MD 2525 County Highway I, Chippewa Falls, WI 54729-1422 Ph: (715) 723-9375 | Peter W Holm, MD 2525 County Highway I, Chippewa Falls, WI 54729 Ph: (715) 723-9375 |
Terrence D Mccanna, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2525 County Hwy I, Chippewa Falls, WI 54729 Phone: 715-723-9375 Fax: 715-723-1092 | |
Dr. John C Moffitt, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2525 County Hwy I, Chippewa Falls, WI 54729 Phone: 715-723-9375 | |
Jeffrey F Brown, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2525 County Highway I, Chippewa Falls, WI 54729 Phone: 715-723-9375 Fax: 715-723-1092 | |
Dr. Thomas Michael Harvey, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2751 Commercial Blvd Ste 6, Chippewa Falls, WI 54729 Phone: 715-449-8400 Fax: 715-449-8400 | |
Mr. David P Sutton, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2525 County Highway I, Chippewa Falls, WI 54729 Phone: 715-723-9375 Fax: 715-723-1092 |