Berlin Family Eye Care Sc | |
269 Memorial Dr, Suite 103, Berlin, WI 54923-1243 | |
(920) 361-1696 | |
(920) 361-1247 |
Full Name | Berlin Family Eye Care Sc |
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Type | Facility |
Speciality | Optometrist |
Location | 269 Memorial Dr, Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720139850 | NPI | - | NPPES |
38455800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (Wisconsin) | Primary |
Provider Name | Tammi L Sawallish |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225063514 PECOS PAC ID: 4789687716 Enrollment ID: I20060814000018 |
Provider Name | Micheal Dean Gerber |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669523791 PECOS PAC ID: 5597732834 Enrollment ID: I20100921001050 |
Mailing Address | Practice Location Address |
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Berlin Family Eye Care Sc Po Box 228, Berlin, WI 54923-0228 Ph: (920) 361-1696 | Berlin Family Eye Care Sc 269 Memorial Dr, Suite 103, Berlin, WI 54923-1243 Ph: (920) 361-1696 |
Dr. David Earl Johanknecht, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 269 Memorial Dr, Suite 103, Berlin, WI 54923 Phone: 920-361-1696 Fax: 920-361-1247 | |
Dr. Tammi L Sawallish, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 269 Memorial Dr Ste 103, Berlin, WI 54923 Phone: 920-361-1696 Fax: 920-361-1247 | |
Dr. Micheal Dean Gerber, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 269 Memorial Dr, Suite 103, Berlin, WI 54923 Phone: 920-361-1696 Fax: 920-361-1247 |