| 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: 309 E Broadway Ave, 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: 309 E Broadway Ave, Medford, WI 54451 Phone: 715-748-2020 Fax: 715-748-4565 | |
Breanna K Hoffmann, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 309 E Broadway Ave, 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: 309 E Broadway Ave, Medford, WI 54451 Phone: 715-748-2020 Fax: 715-748-2020 |