| Advanced Family Eyecare | |
|
308 W Fulton St, Waupaca, WI 54981-1422 | |
| (715) 258-8168 | |
| (715) 258-8436 |
| Full Name | Advanced Family Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 308 W Fulton St, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578640223 | NPI | - | NPPES |
| 38716100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2753 (Wisconsin) | Primary |
| Provider Name | Daniel R Everts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811968878 PECOS PAC ID: 8527081876 Enrollment ID: I20060116000081 |
| Provider Name | Jake L Pray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508392465 PECOS PAC ID: 1052680642 Enrollment ID: I20170713002215 |
| Provider Name | Cody W Dagnall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851036867 PECOS PAC ID: 9234512336 Enrollment ID: I20220823002422 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Eyecare 308 W Fulton St, Waupaca, WI 54981-1422 Ph: (715) 258-8168 | Advanced Family Eyecare 308 W Fulton St, Waupaca, WI 54981-1422 Ph: (715) 258-8168 |
Daniel L. Gauerke, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 815 W Fulton St Ste 3, Waupaca, WI 54981 Phone: 715-258-9122 Fax: 715-258-3090 | |
Dr. Jeffrey L. Byers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 222 S Washington St, Waupaca, WI 54981 Phone: 715-258-2020 Fax: 715-258-9301 | |
Mr. Daniel R Everts, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 308 W Fulton St, Waupaca, WI 54981 Phone: 715-258-8168 Fax: 715-258-8436 | |
Cody W Dagnall, OD Optometrist Medicare: Medicare Enrolled Practice Location: 308 W Fulton St # 1422, Waupaca, WI 54981 Phone: 715-258-8168 | |
Community Eyecare Center Sc Optometrist Medicare: Medicare Enrolled Practice Location: 222 S Washington St, Waupaca, WI 54981 Phone: 715-258-2020 Fax: 715-258-9301 |