| |
1523 Metro Dr, Schofield, WI 54476-2378 | |
(715) 355-8800 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 1523 Metro Dr, Schofield, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427170505 | NPI | - | NPPES |
87247 | Other | WI | SECURITY HEALTH PLAN |
658297 | Other | WI | PROVANTAGE |
921513 | Other | WI | VISION INS PLAN OF AMERCI |
391735627 | Other | WI | ALLIED HEALTH |
8627 | Other | WI | AETNA |
WI 2955 | Other | WI | EYEMED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
15780 Skyline Ave Nw, Prior Lake, MN 55372-1629 Ph: () - | 1523 Metro Dr, Schofield, WI 54476-2378 Ph: (715) 355-8800 |