Siren Family Eyecare, Llc | |
24082 State Road 35, Siren, WI 54872 | |
(715) 349-2733 | |
(715) 349-2744 |
Full Name | Siren Family Eyecare, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 24082 State Road 35, Siren, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063616571 | NPI | - | NPPES |
38725900 | Other | WI | GROUP HEALTH OF EAU CLAIRE |
21-00884 | Other | WI | MEDICA EYEWEAR PIN |
38725900 | Medicaid | WI | |
47955 | Other | WI | SPECTERA/OPTUM HEALTH |
57568 | Other | WI | DAVIS VISION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2728 (Wisconsin) | Primary |
Provider Name | Brian D Smith |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366483612 PECOS PAC ID: 7719979046 Enrollment ID: I20040330000742 |
Provider Name | April D Svoboda Smith |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861464307 PECOS PAC ID: 0143212464 Enrollment ID: I20040402000594 |
Mailing Address | Practice Location Address |
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Siren Family Eyecare, Llc P.o. Box 290, 24082 State Road 35, Siren, WI 54872-0290 Ph: (715) 349-2733 | Siren Family Eyecare, Llc 24082 State Road 35, Siren, WI 54872 Ph: (715) 349-2733 |
Dr. April Dawn Svoboda Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 24082 State Road 35, Siren, WI 54872 Phone: 715-349-2733 Fax: 715-349-2744 |