Dr Annette J Wilde, OD | |
1255 Appleton Rd, Menasha, WI 54952-1501 | |
(920) 722-6872 | |
(920) 722-6335 |
Full Name | Dr Annette J Wilde |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1255 Appleton Rd, Menasha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205829942 | NPI | - | NPPES |
38615000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2869-035 (Wisconsin) | Primary |
Provider Name | Luxottica Of America Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174622583 PECOS PAC ID: 2567366180 Enrollment ID: O20040126000092 |
Mailing Address | Practice Location Address |
---|---|
Dr Annette J Wilde, OD 1255 Appleton Rd, Menasha, WI 54952-1501 Ph: (920) 722-6872 | Dr Annette J Wilde, OD 1255 Appleton Rd, Menasha, WI 54952-1501 Ph: (920) 722-6872 |
Amy S Lahay, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1550 Midway Pl, Menasha, WI 54952 Phone: 920-727-8280 Fax: 920-727-8295 | |
Dr. Nathan Michael Larson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1255 Appleton Rd, Menasha, WI 54952 Phone: 920-722-6872 | |
Dr. Charles J Burgess, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1255 Appleton Rd, Menasha, Menasha, WI 54952 Phone: 920-722-6872 Fax: 920-722-6335 | |
Community Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1255 Appleton Rd, Menasha, WI 54952 Phone: 920-722-6872 Fax: 920-722-6335 | |
Richard Raymond Toellner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1640 Appleton Rd, Menasha, WI 54952 Phone: 920-725-3752 Fax: 920-722-3195 |