Reverie Optique | |
2205 N Calhoun Rd Ste 16, Brookfield, WI 53005-5062 | |
(262) 786-4144 | |
(262) 786-4729 |
Full Name | Reverie Optique |
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Type | Facility |
Speciality | Optometrist |
Location | 2205 N Calhoun Rd Ste 16, Brookfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134272388 | NPI | - | NPPES |
38714200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2942 (Wisconsin) | Primary |
Provider Name | Nina Pham Christensen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518178342 PECOS PAC ID: 4789579335 Enrollment ID: I20040220000967 |
Provider Name | Elizabeth L Baron |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891880118 PECOS PAC ID: 3577521517 Enrollment ID: I20041222000459 |
Mailing Address | Practice Location Address |
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Reverie Optique 2205 N Calhoun Rd Ste 16, Brookfield, WI 53005-5062 Ph: (262) 786-4144 | Reverie Optique 2205 N Calhoun Rd Ste 16, Brookfield, WI 53005-5062 Ph: (262) 786-4144 |
Brookfield Vision Center, S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045 Phone: 262-754-4880 Fax: 262-754-9814 | |
Dr. Kamaldeep S Toor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17495 W Capitol Dr, Brookfield, WI 53045 Phone: 262-797-9638 | |
Dr. Saly Thi Tran, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 19035 W Capitol Dr, Suite 106, Brookfield, WI 53045 Phone: 262-754-4880 Fax: 262-754-9814 | |
Alexandra Brandt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 17495 W Capitol Dr Ste D, Brookfield, WI 53045 Phone: 262-797-9638 Fax: 262-797-9648 | |
Dr. Rachel Paul, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16970a W Bluemound Rd, Brookfield, WI 53005 Phone: 262-784-8120 | |
Charles G Niebler, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2205 N Calhoun Rd, Brookfield, WI 53005 Phone: 262-786-4144 Fax: 262-796-4729 |