| |
4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858 | |
(414) 281-0424 | |
(414) 281-0959 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 4600 W Loomis Rd Ste 310, Greenfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720543614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
6020 S Packard Ave, Cudahy, WI 53110-3028 Ph: (414) 294-4660 | 4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858 Ph: (414) 281-0424 |