| Alwin Edakkunnathu, OD | |
|
5150 N Port Washington Rd Ste 251, Glendale, WI 53217-5477 | |
| (414) 332-0606 | |
| (414) 967-3604 |
| Full Name | Alwin Edakkunnathu |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 15 Years |
| Location | 5150 N Port Washington Rd Ste 251, Glendale, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467899609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3300-35 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Madison Medical Affiliates Inc | 5991606337 | 80 |
| Provider Name | Madison Medical Affiliates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588695746 PECOS PAC ID: 5991606337 Enrollment ID: O20040119000018 |
| Provider Name | Herslof's, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710015342 PECOS PAC ID: 4789578782 Enrollment ID: O20040211000238 |
| Provider Name | Vision Mart Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366491227 PECOS PAC ID: 2163481516 Enrollment ID: O20041011000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Alwin Edakkunnathu, OD 5150 N Port Washington Rd Ste 251, Glendale, WI 53217-5477 Ph: (414) 332-0606 | Alwin Edakkunnathu, OD 5150 N Port Washington Rd Ste 251, Glendale, WI 53217-5477 Ph: (414) 332-0606 |
Wisconsin Vision, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 5530 N Port Washington Rd Unit C, Glendale, WI 53217 Phone: 262-432-2005 Fax: 262-432-2006 | |
Jm Janssen Dba Paramount Optical Lab Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6809 N Green Bay Ave, Glendale, WI 53209 Phone: 414-228-9295 Fax: 414-228-1871 | |
Pearle Vision Optometrist Medicare: Medicare Enrolled Practice Location: 695 W Silver Spring Dr, Glendale, WI 53217 Phone: 414-961-6000 Fax: 414-906-9443 | |
Bayshore Vision, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 420 W Silver Spring Dr, Glendale, WI 53217 Phone: 414-962-2020 | |
Dr. Lawrence W Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5684 N. Center Park Way, Bayshore Town Center, Glendale, WI 53217 Phone: 414-962-2021 Fax: 414-962-2021 | |
Dr. Christina Marie Petrou, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7040 N Port Washington Rd, Suite 420, Glendale, WI 53217 Phone: 414-247-2020 |