| Modern Eyes Ltd. | |
|
2330 S Oneida St Ste 106, Green Bay, WI 54304-5118 | |
| (920) 499-3937 | |
| (920) 499-7729 |
| Full Name | Modern Eyes Ltd. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2330 S Oneida St Ste 106, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811132830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2517 (Wisconsin) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 6198590001 (Wisconsin) | Secondary |
| Provider Name | Patrick J Samels |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801954979 PECOS PAC ID: 4385706373 Enrollment ID: I20081230000135 |
| Provider Name | Craig A Keller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780971499 PECOS PAC ID: 9830368562 Enrollment ID: I20110812000632 |
| Provider Name | Katie Lynn Kyles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962278747 PECOS PAC ID: 8022467471 Enrollment ID: I20240614003593 |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Eyes Ltd. 2330 S Oneida St Ste 106, Green Bay, WI 54304-5118 Ph: (920) 499-3937 | Modern Eyes Ltd. 2330 S Oneida St Ste 106, Green Bay, WI 54304-5118 Ph: (920) 499-3937 |
Brad J Lavallie, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Gregory N Hubertus, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 550 N Military Ave, Ste 10, Green Bay, WI 54303 Phone: 920-498-2020 Fax: 920-498-2269 | |
April Kathleen Swim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2793 Lineville Rd, Green Bay, WI 54313 Phone: 920-496-4700 Fax: 920-496-4705 | |
Dr. Michelle Marie Mueller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 S Military Ave, Green Bay, WI 54303 Phone: 920-494-3384 | |
Dr. James Leigh Elm, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2811 S Oneida St, Green Bay, WI 54304 Phone: 920-496-9699 Fax: 920-496-1540 | |
Paye Eye Care Center Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1515 Sixth St, Green Bay, WI 54304 Phone: 920-499-2147 Fax: 920-499-0574 | |
Teresa Elm, Optometrist Medicare: Medicare Enrolled Practice Location: 2811 S Oneida St, Green Bay, WI 54304 Phone: 920-496-9699 Fax: 920-496-1540 |