Dr Tristan Robert Begotka, OD | |
1210 12th Ave, Grafton, WI 53024-1924 | |
(262) 377-6800 | |
(262) 377-7287 |
Full Name | Dr Tristan Robert Begotka |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1210 12th Ave, Grafton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114369063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3309-35 (Wisconsin) | Primary |
Provider Name | Visionworks Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154699445 PECOS PAC ID: 4385639616 Enrollment ID: O20120517000227 |
Mailing Address | Practice Location Address |
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Dr Tristan Robert Begotka, OD 1210 12th Ave, Grafton, WI 53024-1924 Ph: (262) 377-6800 | Dr Tristan Robert Begotka, OD 1210 12th Ave, Grafton, WI 53024-1924 Ph: (262) 377-6800 |
Thomas Dean Freed, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1106 Washington St, Grafton, WI 53024 Phone: 262-375-0220 Fax: 262-375-0780 | |
Prn Eye Associates Llc Optometrist Medicare: Medicare Enrolled Practice Location: 950 Port Washington Rd, Grafton, WI 53024 Phone: 262-204-1063 | |
Nina Pham Christensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 N Port Washington Rd, Grafton, WI 53024 Phone: 262-204-1063 | |
Dr. Susan N Diederich, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1260 N Port Washington Rd, Grafton, WI 53024 Phone: 262-546-0234 | |
Dr. Michelle H Lewis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 Port Washington Rd, Grafton, WI 53024 Phone: 262-204-1063 | |
Wisconsin Vision, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1260 N Port Washington Rd, Grafton, WI 53024 Phone: 262-546-0234 Fax: 262-546-0236 |