Ophthalmology Associates S C | |
6020 S Packard Ave, Cudahy, WI 53110-3028 | |
(414) 294-4660 | |
Not Available |
Full Name | Ophthalmology Associates S C |
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Type | Facility |
Speciality | Ophthalmology |
Location | 6020 S Packard Ave, Cudahy, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063557890 | NPI | - | NPPES |
32758700 | Medicaid | WI | |
CO1849 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Emmylou M Swartz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851355051 PECOS PAC ID: 0244125888 Enrollment ID: I20040220000905 |
Provider Name | Thomas Vp Alpren |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508853474 PECOS PAC ID: 7911894571 Enrollment ID: I20091029000573 |
Provider Name | Glenn E Graves |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1780671677 PECOS PAC ID: 0648167205 Enrollment ID: I20100122000467 |
Provider Name | Hart B Moss |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437393675 PECOS PAC ID: 1153563267 Enrollment ID: I20130819000809 |
Provider Name | Qian Yang |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891236089 PECOS PAC ID: 4183900327 Enrollment ID: I20170424001660 |
Provider Name | Charles D Mccanna |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295141893 PECOS PAC ID: 4789931387 Enrollment ID: I20180726002694 |
Provider Name | Cole N Rojas |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306341979 PECOS PAC ID: 0547505257 Enrollment ID: I20220907003537 |
Mailing Address | Practice Location Address |
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Ophthalmology Associates S C 6020 S Packard Ave, Cudahy, WI 53110-3028 Ph: (414) 294-4660 | Ophthalmology Associates S C 6020 S Packard Ave, Cudahy, WI 53110-3028 Ph: (414) 294-4660 |