Corinne Beiersdorf Wicklund, OD | |
100 Carr Rd, Plymouth, WI 53073-9500 | |
(920) 892-3937 | |
(920) 892-6668 |
Full Name | Corinne Beiersdorf Wicklund |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 100 Carr Rd, Plymouth, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649290941 | NPI | - | NPPES |
3046-035 | Other | WI | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WL0500X | Optometrist - Low Vision Rehabilitation | 3046-035 (Wisconsin) | Secondary |
152W00000X | Optometrist | 3046-035 (Wisconsin) | Primary |
Provider Name | 20-20 Visions Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821139932 PECOS PAC ID: 0749275782 Enrollment ID: O20040419000546 |
Mailing Address | Practice Location Address |
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Corinne Beiersdorf Wicklund, OD Po Box 600, Plymouth, WI 53073-0600 Ph: (920) 893-3937 | Corinne Beiersdorf Wicklund, OD 100 Carr Rd, Plymouth, WI 53073-9500 Ph: (920) 892-3937 |
Dr. Cheryl L. Ziegler, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 300 E Mill St, Plymouth, WI 53073 Phone: 920-893-8474 Fax: 920-893-8814 | |
Dr. Julie O'leary, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 428 Walton Dr., Plymouth, WI 53073 Phone: 920-892-2748 | |
Dr. Bradley J Wicklund, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Carr Rd, Plymouth, WI 53073 Phone: 920-893-3937 Fax: 920-892-8886 | |
Dr. Sharon R Roberts-suchon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Carr Road, Plymouth, WI 53073 Phone: 920-893-3937 Fax: 920-892-6668 | |
Advanced Eyecare, Sc Optometrist Medicare: Medicare Enrolled Practice Location: 300 E Mill St, Plymouth, WI 53073 Phone: 920-893-8474 Fax: 920-893-8814 | |
Dr. Alexandria Vanells, OD Optometrist Medicare: Medicare Enrolled Practice Location: 100 Carr Rd, Plymouth, WI 53073 Phone: 920-893-3937 Fax: 920-892-6668 |