Dennis R. Soderberg O. D. is a
Optometrist based in Baldwin, Wisconsin. Dennis R. Soderberg O. D. is licensed to practice in Wisconsin (license number 1396) and their current practice location is
1620 10th Ave, Baldwin, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(715) 684-3310.
NPI number for Dennis R. Soderberg O. D. is 1548371966 and their current mailing address is 1620 10th Ave, Baldwin, Wisconsin. Dennis R. Soderberg O. D.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1548371966.
Healthcare Provider's Profile
Full Name | Dennis R. Soderberg O. D. |
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Type | Facility |
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Speciality | Optometrist |
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Location | 1620 10th Ave, Baldwin, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548371966
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 05/14/2013
Medical Identifiers
Medical identifiers for Dennis R. Soderberg O. D. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548371966 | NPI | - | NPPES |
22-12358 | Other | MN | MEDICA |
234200600 | Medicaid | MN | |
92530S0 | Other | MN | BCBS |
130000518 | Other | WI | WEA |
38411800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1396 (Wisconsin) | 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. Dennis R. Soderberg O. D. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dennis R. Soderberg O. D. 1620 10th Ave, Baldwin, WI 54002-9033 Ph: (715) 684-3310 | Dennis R. Soderberg O. D. 1620 10th Ave, Baldwin, WI 54002-9033 Ph: (715) 684-3310 |
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