Dr Robert L Fait, OD | |
309 Mchenry St, Burlington, WI 53105-2123 | |
(262) 763-0117 | |
(262) 763-0119 |
Full Name | Dr Robert L Fait |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 309 Mchenry St, Burlington, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972548386 | NPI | - | NPPES |
38569200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1332035 (Wisconsin) | Primary |
Provider Name | Family Vision & Contact Lens Ctrs Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093935504 PECOS PAC ID: 9133135734 Enrollment ID: O20060306000287 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert L Fait, OD Po Box 630, 309 Mchenry St, Burlington, WI 53105-0630 Ph: (262) 763-0117 | Dr Robert L Fait, OD 309 Mchenry St, Burlington, WI 53105-2123 Ph: (262) 763-0117 |
Family Vision & Contact Lens Centers, S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 309 Mchenry St, Burlington, WI 53105 Phone: 262-763-0117 Fax: 262-763-0119 | |
Family Vision & Contact Lens Centers, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 309 Mchenry St, Burlington, WI 53105 Phone: 262-763-0117 Fax: 262-763-0119 | |
Dr. Jon W. Mckinney, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 309 Mchenry St, Burlington, WI 53105 Phone: 262-763-0117 Fax: 262-763-0119 | |
Dr. Timothy M Pritzl, OD Optometrist Medicare: Medicare Enrolled Practice Location: 309 Mchenry St, Burlington, WI 53105 Phone: 262-763-0117 Fax: 262-763-0119 | |
Dr. Nicholas C Bowen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 309 Mchenry St, Burlington, WI 53105 Phone: 262-763-0117 Fax: 262-763-0119 | |
Dr. David M. Ebley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1901 S. Milwaukee Ave., Burlington, WI 53105 Phone: 262-767-9656 Fax: 262-767-9689 |