Spring Green Vision Center, Inc. | |
150 E Jefferson St, Spring Green, WI 53588-0100 | |
(608) 588-2612 | |
(608) 588-3227 |
Full Name | Spring Green Vision Center, Inc. |
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Type | Facility |
Speciality | Optometrist |
Location | 150 E Jefferson St, Spring Green, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427103084 | NPI | - | NPPES |
1843 | Other | WI | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 1843 (Wisconsin) | Primary |
Provider Name | Jeffrey L Vodak |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548313265 PECOS PAC ID: 1254433865 Enrollment ID: I20070228000685 |
Mailing Address | Practice Location Address |
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Spring Green Vision Center, Inc. 150 E Jefferson St, Po Box 100, Spring Green, WI 53588-0100 Ph: (608) 588-2612 | Spring Green Vision Center, Inc. 150 E Jefferson St, Spring Green, WI 53588-0100 Ph: (608) 588-2612 |
Spring Green Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 150 E Jefferson St, Spring Green, WI 53588 Phone: 608-588-2612 Fax: 608-588-3227 | |
Dr. Jeffrey L Vodak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 East Jefferson Street, Spring Green, WI 53588 Phone: 608-588-2612 Fax: 608-588-3227 | |
Jennifer Mcfarlane, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 150 E Jefferson St, Spring Green, WI 53588 Phone: 608-588-2612 Fax: 608-588-3227 |