Eye Physician Associates, S.c. | |
4300 W. Layton Ave, Ste 100, Milwaukee, WI 53220-5132 | |
(414) 928-2020 | |
(414) 210-3402 |
Full Name | Eye Physician Associates, S.c. |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 4300 W. Layton Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457331894 | NPI | - | NPPES |
32735700 | Medicaid | WI | |
========= | Other | HUMANA | |
38622400 | Medicaid | WI | |
38632200 | Medicaid | WI | |
========= | Other | UNITED HEALTH CARE | |
34678800 | Medicaid | WI | |
C01777 | Other | RAILROAD MEDICARE | |
000073822 | Other | WI | MILWAUKEE PTAN |
========= | Other | WI | BLUE CROSS |
100189991 | Medicaid | WI | |
32306500 | Medicaid | WI | |
34249800 | Medicaid | WI | |
========= | Other | WI | COMPCARE |
0264580001 | Other | DMEPOS ASSIGNED | |
73605 | Other | WI | WISCONSIN PHYSICIAN SERVI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Jaime D Blanchard |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700880499 PECOS PAC ID: 8123001377 Enrollment ID: I20040609001321 |
Provider Name | Michael T Rissell |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1558341370 PECOS PAC ID: 2163494634 Enrollment ID: I20050818000505 |
Provider Name | Charles B Yang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1992784250 PECOS PAC ID: 1052383536 Enrollment ID: I20050818000531 |
Provider Name | Rosemarie M Brueggeman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306825674 PECOS PAC ID: 6002846029 Enrollment ID: I20050818000599 |
Provider Name | Dale R Buettner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194737924 PECOS PAC ID: 0143251991 Enrollment ID: I20050822001279 |
Provider Name | Marc D Hirsch |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1386624120 PECOS PAC ID: 8426043852 Enrollment ID: I20050901000103 |
Provider Name | Chirantan Mukhopadhyay |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1922237700 PECOS PAC ID: 5496998114 Enrollment ID: I20131001000320 |
Provider Name | Kimberly A Swan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548265937 PECOS PAC ID: 2264328699 Enrollment ID: I20150526002033 |
Provider Name | Vijayalakshmi L D Vadrevu |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932292364 PECOS PAC ID: 1153574009 Enrollment ID: I20210820001571 |
Provider Name | Robert William Bjerregaard |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912352832 PECOS PAC ID: 8022437722 Enrollment ID: I20210909001136 |
Provider Name | Emy Jane Lutchka |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487376695 PECOS PAC ID: 2769850916 Enrollment ID: I20221121000754 |
Mailing Address | Practice Location Address |
---|---|
Eye Physician Associates, S.c. 4300 W. Layton Ave, Ste 100, Milwaukee, WI 53220-5132 Ph: (414) 928-2020 | Eye Physician Associates, S.c. 4300 W. Layton Ave, Ste 100, Milwaukee, WI 53220-5132 Ph: (414) 928-2020 |