| Dr Jordan Anne Richardson, OD | |
| 
					700 N Westhaven Dr, Oshkosh, WI 54904  | |
| (920) 303-8700 | |
| Not Available | 
| Full Name | Dr Jordan Anne Richardson | 
|---|---|
| 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. | 
|---|---|
| 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 | 
|---|---|
| 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  | |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1810 Jackson St, Oshkosh, WI 54901 Phone: 920-385-1363  | |
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  |