| Morrison Eye Clinic, Sc | |
|
1221 Phoenix St, Delavan, WI 53115-2340 | |
| (262) 728-2667 | |
| (262) 728-3539 |
| Full Name | Morrison Eye Clinic, Sc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1221 Phoenix St, Delavan, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730370826 | NPI | - | NPPES |
| 516110 | Other | WI | DEAN CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1432 (Wisconsin) | Primary |
| Provider Name | Giovanna M Moses |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942259171 PECOS PAC ID: 7618985391 Enrollment ID: I20060323000089 |
| Provider Name | Shannon M Osborne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538399928 PECOS PAC ID: 8527105238 Enrollment ID: I20091029000388 |
| Provider Name | John Kenneth Morrison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013021518 PECOS PAC ID: 4486784907 Enrollment ID: I20100610000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Morrison Eye Clinic, Sc Po Box 910, Delavan, WI 53115-2340 Ph: (262) 728-2667 | Morrison Eye Clinic, Sc 1221 Phoenix St, Delavan, WI 53115-2340 Ph: (262) 728-2667 |
Dr. John Kenneth Morrison, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1221 Phoenix St, Delavan, WI 53115 Phone: 262-728-2667 Fax: 262-728-3539 | |
Dr. Nicole Lynn Swigart, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1221 Phoenix St, Delavan, WI 53115 Phone: 262-728-2667 Fax: 262-728-3539 | |
Dr. James Winchester Wallace, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1450 E Geneva St, Delavan, WI 53115 Phone: 262-728-0068 Fax: 262-728-0055 | |
Dr. Ronald Wayne Henson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1819 E Geneva St, Delavan, WI 53115 Phone: 262-740-7213 Fax: 262-740-7226 | |
Dr. Anne-marie Christine Laschen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1450 E Geneva St, Delavan, WI 53115 Phone: 262-728-0068 | |
Delavan Family Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1221 Phoenix St, Delavan, WI 53115 Phone: 262-728-2667 |