Jackson Vision Center, Llc | |
W194n16747 Eagle Dr, Suite N, Jackson, WI 53037-9797 | |
(262) 677-4313 | |
(262) 677-4396 |
Full Name | Jackson Vision Center, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | W194n16747 Eagle Dr, Jackson, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598881336 | NPI | - | NPPES |
38615500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Wisconsin) | Primary |
Provider Name | Zhaleh S Barari |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699752907 PECOS PAC ID: 4688667165 Enrollment ID: I20040408000617 |
Mailing Address | Practice Location Address |
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Jackson Vision Center, Llc W194n16747 Eagle Dr, Suite N, Jackson, WI 53037-9797 Ph: (262) 677-4313 | Jackson Vision Center, Llc W194n16747 Eagle Dr, Suite N, Jackson, WI 53037-9797 Ph: (262) 677-4313 |
Ms. Sonali Patel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: W225n16711 Cedar Park Ct, Jackson, WI 53037 Phone: 262-677-1101 Fax: 262-677-0121 | |
Dr. Zhaleh Barari, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: W194 N 16747 Eagle Dr., Suite N, Jackson, WI 53037 Phone: 262-677-4313 Fax: 262-677-4396 |