| |
404 Market St, Nekoosa, WI 54457-1126 | |
(715) 886-4731 | |
(715) 886-4706 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 404 Market St, Nekoosa, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215078258 | NPI | - | NPPES |
38607400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Peter M Kolar |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023176971 PECOS PAC ID: 4385729367 Enrollment ID: I20080314000523 |
Mailing Address | Practice Location Address |
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404 Market St, Po Box 187, Nekoosa, WI 54457-1126 Ph: (715) 886-4731 | 404 Market St, Nekoosa, WI 54457-1126 Ph: (715) 886-4731 |
Dr. Peter Michael Kolar, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404 Market St, Nekoosa, WI 54457 Phone: 715-886-4731 Fax: 715-886-4706 |