| Midline Vision Group Llc | |
|
714 3rd Ave, Antigo, WI 54409-2044 | |
| (715) 623-2180 | |
| (715) 623-7244 |
| Full Name | Midline Vision Group Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 714 3rd Ave, Antigo, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689382079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Midline Vision Group Llc 408 N 3rd St Ste 402, Wausau, WI 54403-5455 Ph: (715) 298-3486 | Midline Vision Group Llc 714 3rd Ave, Antigo, WI 54409-2044 Ph: (715) 623-2180 |
Richard A Kjome, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180 | |
Antigo Vision Clinic Sc Optometrist Medicare: Medicare Enrolled Practice Location: 714 3rd Ave, Antigo, WI 54409 Phone: 715-623-2180 Fax: 715-623-7244 | |
Antigo Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 810 5th Ave, Antigo, WI 54409 Phone: 715-623-3620 Fax: 715-623-3333 |