Lake Country Eye Care, Llc | |
520 Hartbrook Dr Ste F, Hartland, WI 53029-1402 | |
(262) 367-6610 | |
(262) 367-0964 |
Full Name | Lake Country Eye Care, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 520 Hartbrook Dr Ste F, Hartland, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457757288 | NPI | - | NPPES |
152WOOOOX | Medicaid | WI | |
11533287 | Other | WI | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2878-035 (Wisconsin) | Primary |
Provider Name | Amber A Dentz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548339096 PECOS PAC ID: 4981641487 Enrollment ID: I20050415000583 |
Provider Name | Andrew J Baldus |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316924590 PECOS PAC ID: 8527066976 Enrollment ID: I20061117000396 |
Provider Name | Christopher Winter |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023159324 PECOS PAC ID: 6901912898 Enrollment ID: I20101101000804 |
Provider Name | Joel Hansen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598324154 PECOS PAC ID: 5395078778 Enrollment ID: I20190618001575 |
Provider Name | Ashlee Finnell |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053806372 PECOS PAC ID: 3476802414 Enrollment ID: I20191029000364 |
Provider Name | Bartlomiej Celer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790459758 PECOS PAC ID: 9830576693 Enrollment ID: I20220517000505 |
Mailing Address | Practice Location Address |
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Lake Country Eye Care, Llc 520 Hartbrook Dr Ste F, Hartland, WI 53029-1402 Ph: (262) 367-6610 | Lake Country Eye Care, Llc 520 Hartbrook Dr Ste F, Hartland, WI 53029-1402 Ph: (262) 367-6610 |
Dr. Tim Raymond Seifert, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 211 Cottonwood Ave, Hartland, WI 53029 Phone: 262-367-6610 | |
Dr. Amber A. Dentz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 520 Hartbrook Dr, Hartland, WI 53029 Phone: 262-367-6610 | |
Dr. Tim R. Seifert, Optometrist, S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 211 Cottonwood Ave, Hartland, WI 53029 Phone: 262-367-6610 |