| |
641 E Saint Mary St, Milton, WI 53563-3719 | |
(608) 868-4651 | |
(608) 884-4923 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 641 E Saint Mary St, Milton, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245449644 | NPI | - | NPPES |
38514300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1749 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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641 E Saint Mary St, Milton, WI 53563-3719 Ph: (608) 868-4651 | 641 E Saint Mary St, Milton, WI 53563-3719 Ph: (608) 868-4651 |
Dr. Jayme Nicole Kasting Long, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 641 E Saint Mary St, Milton, WI 53563 Phone: 608-868-4651 Fax: 608-884-4923 |