Kivlin Eye Clinic Sc | |
2303 Schneider Ave Se, Menomonie, WI 54751-7005 | |
(715) 235-3838 | |
(715) 235-3846 |
Full Name | Kivlin Eye Clinic Sc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2303 Schneider Ave Se, Menomonie, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336216472 | NPI | - | NPPES |
0523040001 | Other | WI | DMERC |
38564800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1539035 (Wisconsin) | Primary |
Provider Name | James B Kivlin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881620854 PECOS PAC ID: 9830198407 Enrollment ID: I20120305000632 |
Provider Name | Dustin J Hetke |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578946265 PECOS PAC ID: 5496060956 Enrollment ID: I20150813010213 |
Provider Name | Douglas M Monette |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669460895 PECOS PAC ID: 3274718119 Enrollment ID: I20190531000477 |
Mailing Address | Practice Location Address |
---|---|
Kivlin Eye Clinic Sc 2303 Schneider Ave Se, Menomonie, WI 54751-7005 Ph: (715) 235-3838 | Kivlin Eye Clinic Sc 2303 Schneider Ave Se, Menomonie, WI 54751-7005 Ph: (715) 235-3838 |
Dr. Kelsie Sommerfeld, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-9671 | |
Dr. Tori J. Flood, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2303 Schneider Ave Se, Menomonie, WI 54751 Phone: 715-235-3838 Fax: 715-235-3846 | |
Dustin Hetke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2303 Schneider Ave Se Ste 100, Menomonie, WI 54751 Phone: 715-235-3838 Fax: 715-235-3846 | |
Dr. Heather N Gullickson-cowden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2409 Stout Rd, Menomonie, WI 54751 Phone: 715-231-3937 | |
Dr. Douglas Michael Monette, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2303 Schneider Ave Se Ste 100, Menomonie, WI 54751 Phone: 715-235-3838 | |
Dr. Nicholas Joel Komro, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 520 Wilson Ave, Menomonie, WI 54751 Phone: 715-235-2855 Fax: 715-235-9436 |