| Prn Eye Associates Llc | |
|
950 Port Washington Rd, Grafton, WI 53024-9201 | |
| (262) 204-1063 | |
| Not Available |
| Full Name | Prn Eye Associates Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 950 Port Washington Rd, Grafton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356622898 | NPI | - | NPPES |
| 147398 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2999 (Wisconsin) | Primary |
| Provider Name | Kristopher T Knous |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356432199 PECOS PAC ID: 9335036664 Enrollment ID: I20041214000667 |
| Provider Name | Julie A Oleary |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124110812 PECOS PAC ID: 4385690734 Enrollment ID: I20050329000471 |
| Provider Name | Melissa J Knous |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720012073 PECOS PAC ID: 6800812892 Enrollment ID: I20051019000465 |
| Provider Name | Michelle H Lewis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841310547 PECOS PAC ID: 9133286263 Enrollment ID: I20090317000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Prn Eye Associates Llc 935 N Grant St, Port Washington, WI 53074-1459 Ph: (262) 352-7932 | Prn Eye Associates Llc 950 Port Washington Rd, Grafton, WI 53024-9201 Ph: (262) 204-1063 |
Thomas Dean Freed, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1106 Washington St, Grafton, WI 53024 Phone: 262-375-0220 Fax: 262-375-0780 | |
Dr. Tristan Robert Begotka, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1210 12th Ave, Grafton, WI 53024 Phone: 262-377-6800 Fax: 262-377-7287 | |
Nina Pham Christensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 N Port Washington Rd, Grafton, WI 53024 Phone: 262-204-1063 | |
Dr. Susan N Diederich, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1260 N Port Washington Rd, Grafton, WI 53024 Phone: 262-546-0234 | |
Dr. Michelle H Lewis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 Port Washington Rd, Grafton, WI 53024 Phone: 262-204-1063 | |
Wisconsin Vision, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1260 N Port Washington Rd, Grafton, WI 53024 Phone: 262-546-0234 Fax: 262-546-0236 |