| Eyecare Center Of Wausau | |
|
611 Stevens Dr, Wausau, WI 54401-3006 | |
| (715) 848-2020 | |
| (715) 845-6669 |
| Full Name | Eyecare Center Of Wausau |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 611 Stevens Dr, Wausau, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770722993 | NPI | - | NPPES |
| 000047394 | Other | WI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2687 (Wisconsin) | Primary |
| Provider Name | Kelsey B Koerner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659729580 PECOS PAC ID: 0547551459 Enrollment ID: I20160624000141 |
| Provider Name | Lauren M Leurquin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770143984 PECOS PAC ID: 8224363973 Enrollment ID: I20190717002297 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Center Of Wausau 611 Stevens Dr, Wausau, WI 54401-3006 Ph: (715) 848-2020 | Eyecare Center Of Wausau 611 Stevens Dr, Wausau, WI 54401-3006 Ph: (715) 848-2020 |
Busisiwe Rose Vandriel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 S 18th Ave, Wausau, WI 54401 Phone: 715-842-8040 Fax: 715-848-8773 | |
Wayne R Busick, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: D400 Wausau Ctr, Wausau, WI 54403 Phone: 715-842-5224 | |
Dr. Robert Kessen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Stewart Ave, Suite 120, Wausau, WI 54401 Phone: 715-845-1988 | |
Dr. Katie J Michalski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st Street, Wausau, WI 54403 Phone: 715-261-8500 Fax: 715-261-8556 | |
Dr. Daniel T. Stoehr, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 N 1st St, Wausau, WI 54403 Phone: 715-261-8500 Fax: 715-261-8667 | |
Nancy Shebuski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
Dr. Erin Renee Daggett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 S 18th Ave, Wausau, WI 54401 Phone: 715-842-8040 |