Dr Jordan Anne Richardson, OD | |
700 N Westhaven Dr, Oshkosh, WI 54904 | |
(920) 303-8700 | |
Not Available |
Full Name | Dr Jordan Anne Richardson |
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Gender | Female |
Speciality | Optometrist |
Location | 700 N Westhaven Dr, Oshkosh, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346698529 | NPI | - | NPPES |
100293138 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3961-35 (Wisconsin) | Primary |
152W00000X | Optometrist | 34181 (California) | Secondary |
Provider Name | Aurora Medical Group, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Dr Jordan Anne Richardson, OD Po Box 735044, Chicago, IL 60673 Ph: (800) 326-2250 | Dr Jordan Anne Richardson, OD 700 N Westhaven Dr, Oshkosh, WI 54904 Ph: (920) 303-8700 |
Dr. Paul Hubert Payant, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1885 W Pointe Dr, Oshkosh, WI 54902 Phone: 920-232-6550 | |
Eye Clinic Of The Fox Valley Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 503 Doctors Ct, Oshkosh, WI 54901 Phone: 920-236-3540 Fax: 920-236-3558 | |
Dr. Nathan Paul Forst, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 S. Koeller Road, Oshkosh, WI 54902 Phone: 920-426-5730 Fax: 920-426-1708 | |
Garry G Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 719 Doctors Ct, Oshkosh, WI 54901 Phone: 920-233-0066 | |
Tara Elizabeth-marie Hoppe, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2510 W 9th Ave, Oshkosh, WI 54904 Phone: 920-426-2020 | |
Dr. John T Anderson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 251 N Sawyer St, Oshkosh, WI 54902 Phone: 920-235-5530 Fax: 920-235-5530 |