Dr Jason Gospodarek, OD | |
525 Airport Dr, Oneida, WI 54155-9035 | |
(920) 869-2711 | |
Not Available |
Full Name | Dr Jason Gospodarek |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 525 Airport Dr, Oneida, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821086455 | NPI | - | NPPES |
721697 | Other | WI | MANAGED HEALTH SERVICE |
38614900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2863-035 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Gospodarek, OD Po Box 365, Oneida, WI 54155-0365 Ph: (920) 869-2711 | Dr Jason Gospodarek, OD 525 Airport Dr, Oneida, WI 54155-9035 Ph: (920) 869-2711 |
Dr. Lisa Lynn Slaby, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 | |
Dr. Robert A Rehm Iii, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 |