Eye Wisconsin Llc | |
401 N Milwaukee St Ste 3, Waterford, WI 53185-4493 | |
(262) 534-9100 | |
Not Available |
Full Name | Eye Wisconsin Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 401 N Milwaukee St Ste 3, Waterford, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487392585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Trevor Baldwin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407801152 PECOS PAC ID: 9032302393 Enrollment ID: I20101019000593 |
Provider Name | Bradley Grant |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386836518 PECOS PAC ID: 2163598939 Enrollment ID: I20220916001171 |
Provider Name | Zachary L Thomason |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285309591 PECOS PAC ID: 2860898103 Enrollment ID: I20220921003482 |
Provider Name | Lai Jiang |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790479996 PECOS PAC ID: 4385004639 Enrollment ID: I20230718002179 |
Mailing Address | Practice Location Address |
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Eye Wisconsin Llc 1090 Bucks Pond Rd, Monticello, IL 61856-8058 Ph: (901) 496-9129 | Eye Wisconsin Llc 401 N Milwaukee St Ste 3, Waterford, WI 53185-4493 Ph: (262) 534-9100 |
Dr. Andrea L Parisi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 N Milwaukee St Ste 3, Waterford, WI 53185 Phone: 262-534-9100 |