Renee Haefs, OD | |
10938 N Port Washington Rd, Mequon, WI 53092-5031 | |
(262) 241-4848 | |
(262) 241-9865 |
Full Name | Renee Haefs |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 10938 N Port Washington Rd, Mequon, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609883990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2698 (Wisconsin) | Primary |
Provider Name | Watertown Physician Practices Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
Provider Name | Myeyedr Optometry Of Wisconsin Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164992996 PECOS PAC ID: 5890033716 Enrollment ID: O20190219000001 |
Mailing Address | Practice Location Address |
---|---|
Renee Haefs, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Renee Haefs, OD 10938 N Port Washington Rd, Mequon, WI 53092-5031 Ph: (262) 241-4848 |
Pranaya Bista, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10996 N Port Washington Rd, Mequon, WI 53092 Phone: 262-240-9870 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10800 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-4848 Fax: 262-241-9865 | |
David Zolot, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11340 N Port Washington Rd, Mequon, WI 53092 Phone: 262-240-0455 Fax: 262-240-0460 | |
Dr. Jolie Denise Legate, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10800 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-4848 | |
Janice Le, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11340 N. Pt. Washington Rd., Mequon, WI 53092 Phone: 262-240-0455 | |
Lakeshore Eye Care Professionals, S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10320 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-1919 Fax: 262-241-9046 |