| Ladd F. Koresch O.d., S.c. | |
|
415 Broad St, Suite 101, Lake Geneva, WI 53147-1800 | |
| (262) 248-4878 | |
| (262) 248-1100 |
| Full Name | Ladd F. Koresch O.d., S.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 415 Broad St, Lake Geneva, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104029867 | NPI | - | NPPES |
| 38556600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1228-035 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ladd F. Koresch O.d., S.c. 415 Broad St, Suite 101, Lake Geneva, WI 53147-1800 Ph: (262) 248-4878 | Ladd F. Koresch O.d., S.c. 415 Broad St, Suite 101, Lake Geneva, WI 53147-1800 Ph: (262) 248-4878 |
Family Eye Care Of Lake Geneva, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 835 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 Phone: 262-248-4878 Fax: 262-248-1100 | |
Dr. Inger L Gibson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 154 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-1000 Fax: 262-249-1255 | |
Eye Contact Optometrist Medicare: Not Enrolled in Medicare Practice Location: 253 Center St, Lake Geneva, WI 53147 Phone: 262-248-9200 | |
Advanced Eyecare & Contact Lens Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 154 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-1000 Fax: 262-249-1255 |