Kristen K Dorman, OD | |
120 Martin Dr, Fredonia, WI 53021-9455 | |
(262) 692-9000 | |
(262) 692-2797 |
Full Name | Kristen K Dorman |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 29 Years |
Location | 120 Martin Dr, Fredonia, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609833110 | NPI | - | NPPES |
822601 | Other | WI | VIPA |
38608200 | Other | WI | WI HEALTH INS RSK SHAR PR |
391101335 | Other | WI | WI PHYS SERV WPS |
410041553 | Other | WI | RAILROAD MEDICARE |
5300133 | Other | WI | AETNA |
38608200 | Other | WI | ABRI |
103436 | Other | WI | HEALTH ALLIANCE |
747042 | Other | WI | MOHAWK |
38608200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2673-035 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Schuster Family Eyecare Llc | 0547699092 | 3 |
Provider Name | Myeyedr Optometry Of Wisconsin Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164992996 PECOS PAC ID: 5890033716 Enrollment ID: O20190219000001 |
Provider Name | Schuster Family Eyecare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821621210 PECOS PAC ID: 0547699092 Enrollment ID: O20200403000585 |
Mailing Address | Practice Location Address |
---|---|
Kristen K Dorman, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Kristen K Dorman, OD 120 Martin Dr, Fredonia, WI 53021-9455 Ph: (262) 692-9000 |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 Martin Dr, Fredonia, WI 53021 Phone: 262-692-9000 | |
Premier Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 Martin Dr, Fredonia, WI 53021 Phone: 262-692-9000 Fax: 262-692-2797 | |
Dr. Matthew Francis Byers, OD Optometrist Medicare: Medicare Enrolled Practice Location: 120 Martin Dr, Fredonia, WI 53021 Phone: 262-692-9000 Fax: 262-692-2797 | |
Melissa J Knous, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 Meyer Ave, Fredonia, WI 53021 Phone: 262-692-9000 Fax: 262-692-2797 | |
Dr. Michelle H Pedersen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 Martin Drive, Fredonia, WI 53021 Phone: 262-692-9000 | |
Dr. Eric Paul Pedersen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 Martin Dr, Fredonia, WI 53021 Phone: 262-692-9000 Fax: 262-692-2797 |