| Eye Clinic Of Waukesha Llc | |
|
2426 N Grandview Blvd, Suite D, Waukesha, WI 53188-6905 | |
| (262) 549-2020 | |
| (262) 522-8117 |
| Full Name | Eye Clinic Of Waukesha Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2426 N Grandview Blvd, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013165729 | NPI | - | NPPES |
| 1356432199 | Other | WI | PERSONAL NPI |
| 3946025 | Other | WI | MEDICARE PROVIDER NUMBER |
| 38625000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2999 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Clinic Of Waukesha Llc 2426 N Grandview Blvd, Suite D, Waukesha, WI 53188-6905 Ph: (262) 549-2020 | Eye Clinic Of Waukesha Llc 2426 N Grandview Blvd, Suite D, Waukesha, WI 53188-6905 Ph: (262) 549-2020 |
Dr. Yanna T Kisala, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 203a E Sunset Dr, Waukesha, WI 53189 Phone: 262-524-1130 | |
Dr. Michelle Casuga Lopez, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Arcadian Ave, Waukesha, WI 53186 Phone: 262-542-3676 | |
Dr. Camthu Minh Pham, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 N Springdale Rd, Waukesha, WI 53186 Phone: 262-798-1665 | |
Stefan Levay-young, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2401 Kossow Rd, Waukesha, WI 53186 Phone: 262-784-8646 | |
Kristie K. Yeager, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 825 W. Moreland Boulevard, Waukesha, WI 53188 Phone: 414-542-9610 Fax: 414-542-1783 | |
Meadowbrook Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 3228 Turnberry Oak Dr Ste 200, Waukesha, WI 53188 Phone: 262-542-7113 Fax: 262-542-9439 |