Congdon Optometry Inc is a medicare enrolled "Technician/technologist - Optician" provider in Marinette, Wisconsin. Their current practice location is
3003 Cleveland Ave, Suite A, Marinette, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(715) 732-2101.
Congdon Optometry Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Congdon Optometry Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003932088.
Healthcare Provider's Profile
Full Name | Congdon Optometry Inc |
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Type | Facility |
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Speciality | Technician/technologist - Optician |
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Location | 3003 Cleveland Ave, Marinette, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003932088
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 08/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830218676
- Enrollment ID: O20100930039552
Medical Identifiers
Medical identifiers for Congdon Optometry Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003932088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Congdon Optometry Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Congdon Optometry Inc 3003 Cleveland Ave Ste C, Marinette, WI 54143-3761 Ph: (715) 732-2101 | Congdon Optometry Inc 3003 Cleveland Ave, Suite A, Marinette, WI 54143 Ph: (715) 732-2101 |
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