Dean Fait, OD | |
107 S Central Ave, Marshfield, WI 54449-2834 | |
(715) 660-8337 | |
Not Available |
Full Name | Dean Fait |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 107 S Central Ave, Marshfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780799205 | NPI | - | NPPES |
38609000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2426 (Wisconsin) | Primary |
Provider Name | 20/20 Vision Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508104084 PECOS PAC ID: 8123265055 Enrollment ID: O20130513000237 |
Mailing Address | Practice Location Address |
---|---|
Dean Fait, OD 107 S Central Ave, Marshfield, WI 54449-2834 Ph: (715) 660-8337 | Dean Fait, OD 107 S Central Ave, Marshfield, WI 54449-2834 Ph: (715) 660-8337 |
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