Gerald O Theune, OD | |
128 N Tratt St, Whitewater, WI 53190-1212 | |
(262) 473-4514 | |
(262) 473-3161 |
Full Name | Gerald O Theune |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 128 N Tratt St, Whitewater, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700830536 | NPI | - | NPPES |
1700830536 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1557-035 (Wisconsin) | Primary |
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 |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1139 W Main St, Whitewater, WI 53190 Phone: 262-731-6320 | |
Craig L Nevermann, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 128 N Tratt St, Whitewater, WI 53190 Phone: 262-473-4514 Fax: 262-473-3161 |