Samuel K Soda, OD | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Samuel K Soda |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1836 South Ave, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194411850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 119996 (Iowa) | Secondary |
152W00000X | Optometrist | 3930 (Wisconsin) | Primary |
Provider Name | Gundersen Clinic Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20040130000561 |
Mailing Address | Practice Location Address |
---|---|
Samuel K Soda, OD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Samuel K Soda, OD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Alan S Hecht, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-392-9871 | |
John D Larson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
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