| Healthdrive Eye Care Group | |
|
200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | |
| (414) 535-8134 | |
| (414) 535-8135 |
| Full Name | Healthdrive Eye Care Group |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 200 S Executive Dr, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326079716 | NPI | - | NPPES |
| 38713000 | Medicaid | WI | |
| CN3109 | Other | WI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Nicole M Jonas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710085709 PECOS PAC ID: 3577599125 Enrollment ID: I20050714000563 |
| Provider Name | Jeffrey Morer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972536175 PECOS PAC ID: 1153214242 Enrollment ID: I20080222000331 |
| Provider Name | Heather L Huggett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750489803 PECOS PAC ID: 4486798196 Enrollment ID: I20100218000716 |
| Provider Name | Erik R Bjork |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962453589 PECOS PAC ID: 2567420839 Enrollment ID: I20110413000970 |
| Provider Name | Mark A Kidman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447234554 PECOS PAC ID: 8123152667 Enrollment ID: I20130515000506 |
| Provider Name | Amanda M Keller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588976336 PECOS PAC ID: 1456622281 Enrollment ID: I20170811002190 |
| Provider Name | Jessica Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922537653 PECOS PAC ID: 0042561649 Enrollment ID: I20210311001934 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthdrive Eye Care Group 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 Ph: (617) 964-6681 | Healthdrive Eye Care Group 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 Ph: (414) 535-8134 |
Brookfield Vision Center, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045 Phone: 262-754-4880 Fax: 262-754-9814 | |
Reverie Optique Optometrist Medicare: Medicare Enrolled Practice Location: 2205 N Calhoun Rd Ste 16, Brookfield, WI 53005 Phone: 262-786-4144 Fax: 262-786-4729 | |
Dr. Kamaldeep S Toor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17495 W Capitol Dr, Brookfield, WI 53045 Phone: 262-797-9638 | |
Dr. Saly Thi Tran, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045 Phone: 262-754-4880 Fax: 262-754-9814 | |
Alexandra Brandt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17495 W Capitol Dr Ste D, Brookfield, WI 53045 Phone: 262-797-9638 Fax: 262-797-9648 | |
Dr. Rachel Paul, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16970a W Bluemound Rd, Brookfield, WI 53005 Phone: 262-784-8120 | |
Charles G Niebler, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2205 N Calhoun Rd, Brookfield, WI 53005 Phone: 262-786-4144 Fax: 262-796-4729 |