| Advanced Eyecare & Contact Lens Center, Llc | |
|
154 E Geneva Sq, Lake Geneva, WI 53147-9694 | |
| (262) 249-1000 | |
| (262) 249-1255 |
| Full Name | Advanced Eyecare & Contact Lens Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 154 E Geneva Sq, Lake Geneva, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780848523 | NPI | - | NPPES |
| 38618100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2495 (Wisconsin) | Primary |
| Provider Name | Inger Gibson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386637007 PECOS PAC ID: 8729294475 Enrollment ID: I20110304000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Eyecare & Contact Lens Center, Llc 154 E Geneva Sq, Lake Geneva, WI 53147-9694 Ph: (262) 249-1000 | Advanced Eyecare & Contact Lens Center, Llc 154 E Geneva Sq, Lake Geneva, WI 53147-9694 Ph: (262) 249-1000 |
Ladd F. Koresch O.d., S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 Broad St, Suite 101, Lake Geneva, WI 53147 Phone: 262-248-4878 Fax: 262-248-1100 | |
Family Eye Care Of Lake Geneva, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 835 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 Phone: 262-248-4878 Fax: 262-248-1100 | |
Dr. Inger L Gibson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 154 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-1000 Fax: 262-249-1255 | |
Eye Contact Optometrist Medicare: Not Enrolled in Medicare Practice Location: 253 Center St, Lake Geneva, WI 53147 Phone: 262-248-9200 |