Jeffery R Bourgerie, OD | |
309 E Broadway Ave, Medford, WI 54451-1835 | |
(715) 748-2020 | |
(715) 748-4565 |
Full Name | Jeffery R Bourgerie |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 309 E Broadway Ave, Medford, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164409348 | NPI | - | NPPES |
38715300 | Medicaid | WI | |
37815100 | Medicaid | WI | |
39-1229699 | Other | WI | FEDERAL TAX ID-MEDFORD |
391229699015 | Other | WI | BLUE CROSS BLUE SHIELD-ME |
0474980001 | Other | WI | DMERC-MEDFORD GROUP |
10445 | Other | WI | NVA-MEDFORD |
410045063 | Other | WI | RAILROAD MEDICARE-COLBY |
1271670001 | Other | WI | DMERC-COLBY GROUP |
21143 | Other | WI | SECURITY HEALTH PLAN-MEDF |
2228 | Other | WI | LICENSE NUMBER |
39-1967186 | Other | WI | FEDERALTAX ID-COLBY |
38581200 | Medicaid | WI | |
391967186091 | Other | WI | BLUE CROSS BLUE SHIELD-CO |
410015253 | Other | WI | RAILROAD MEDICARE-MEDFORD |
63857 | Other | WI | SECURITY HEALTH PLAN-COLB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2228 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jeffery R Bourgerie, OD 309 E Broadway Ave, P.o. Box 547, Medford, WI 54451-1835 Ph: (715) 748-2020 | Jeffery R Bourgerie, OD 309 E Broadway Ave, Medford, WI 54451-1835 Ph: (715) 748-2020 |
Healthview Eye Care Center-medford Optometrist Medicare: Medicare Enrolled Practice Location: 353 N 8th St, Medford, WI 54451 Phone: 715-748-2020 Fax: 715-748-4565 | |
Beyond 20-20 Vision Therapy Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 309 E Broadway Ave, Medford, WI 54451 Phone: 715-748-2020 Fax: 715-748-4565 | |
Betsy L Meinel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 353 N 8th St, Medford, WI 54451 Phone: 715-748-2020 Fax: 715-748-4565 | |
Breanna K Hoffmann, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 353 N 8th St, Medford, WI 54451 Phone: 715-748-2020 Fax: 715-748-4565 | |
Perry A Arndt, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 309 E Broadway Ave, Medford, WI 54451 Phone: 715-748-2020 Fax: 715-748-4565 | |
Dr. Mathew Bryan Mergenthaler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 353 N 8th St, Medford, WI 54451 Phone: 715-748-2020 Fax: 715-748-2020 |