Essential Family Vision Care, S.c. | |
101 S. Main St, De Forest, WI 53532 | |
(608) 846-5625 | |
(608) 846-8998 |
Full Name | Essential Family Vision Care, S.c. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 101 S. Main St, De Forest, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205953866 | NPI | - | NPPES |
38723200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2173 (Wisconsin) | Primary |
Provider Name | Julia B Edwards |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093705345 PECOS PAC ID: 7719870526 Enrollment ID: I20040205000538 |
Provider Name | Trixie I Eakin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326038670 PECOS PAC ID: 9638136062 Enrollment ID: I20041216000663 |
Provider Name | Stephanie D Mccaig |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548694235 PECOS PAC ID: 5496989584 Enrollment ID: I20131003000050 |
Provider Name | Kallie Harrier |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083271902 PECOS PAC ID: 3476886029 Enrollment ID: I20190613000449 |
Provider Name | Cally Jo Vaughn |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922677392 PECOS PAC ID: 7517361959 Enrollment ID: I20210809000226 |
Mailing Address | Practice Location Address |
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Essential Family Vision Care, S.c. 101 S. Main St, De Forest, WI 53532 Ph: (608) 846-5625 | Essential Family Vision Care, S.c. 101 S. Main St, De Forest, WI 53532 Ph: (608) 846-5625 |
Dr. Julia B Edwards, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 101 South Main St., De Forest, WI 53532 Phone: 608-846-5625 Fax: 608-846-8998 | |
Dr. Trixie Irene Eakin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 S. Main St, De Forest, WI 53532 Phone: 608-846-5625 Fax: 608-846-8998 |