Lai Jiang, OD | |
1721 W Main St, Sun Prairie, WI 53590-3161 | |
(608) 837-7325 | |
Not Available |
Full Name | Lai Jiang |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1721 W Main St, Sun Prairie, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790479996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3913-35 (Wisconsin) | Primary |
Provider Name | Eye Wisconsin Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487392585 PECOS PAC ID: 5395120018 Enrollment ID: O20220916000987 |
Mailing Address | Practice Location Address |
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Lai Jiang, OD 4847 E Route 36, Decatur, IL 62521-9736 Ph: (217) 425-3219 | Lai Jiang, OD 1721 W Main St, Sun Prairie, WI 53590-3161 Ph: (608) 837-7325 |
Richard Thomas Wright, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1455 W Main St, Sun Prairie, WI 53590 Phone: 608-825-2020 Fax: 608-837-0414 | |
Jennifer Marie Groehler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3517 | |
Dr. Melissa Mcgowan Terrill, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3794 | |
Jeffrey Clements, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1455 W Main St, Sun Prairie, WI 53590 Phone: 608-825-2020 | |
Kristin Marie Mcardle, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1455 W Main St, Sun Prairie, WI 53590 Phone: 608-825-2020 | |
Eye Wisconsin Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1721 W Main St, Sun Prairie, WI 53590 Phone: 608-837-7325 | |
Trevor J Baldwin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1721 W Main St, Sun Prairie, WI 53590 Phone: 608-837-7325 Fax: 608-837-7326 |