Gerald O Theune, OD is a
Optometrist based in Whitewater, Wisconsin. Gerald O Theune is licensed to practice in Wisconsin (license number 1557-035) and his current practice location is
128 N Tratt St, Whitewater, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 473-4514.
NPI number for Gerald O Theune is 1700830536 and his current mailing address is 128 N Tratt St, Whitewater, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700830536.
Healthcare Provider's Profile
| Full Name | Gerald O Theune |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
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| Location | 128 N Tratt St, Whitewater, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700830536
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 12/29/2020
Medical Identifiers
Medical identifiers for Gerald O Theune such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700830536 | NPI | - | NPPES |
| 1700830536 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1557-035 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gerald O Theune is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gerald O Theune, OD
128 N Tratt St,
Whitewater, WI 53190-1212
Ph: (262) 473-4514 | Gerald O Theune, OD
128 N Tratt St,
Whitewater, WI 53190-1212
Ph: (262) 473-4514 |
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