| |
341 E La Salle Ave, Barron, WI 54812-1502 | |
(715) 637-2020 | |
(715) 637-3140 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 341 E La Salle Ave, Barron, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497960876 | NPI | - | NPPES |
38528100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2109035 (Wisconsin) | Primary |
Provider Name | Todd C Swanson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063475879 PECOS PAC ID: 4789572173 Enrollment ID: I20040308000809 |
Provider Name | Dean M Springer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962615807 PECOS PAC ID: 4587740857 Enrollment ID: I20080326000955 |
Mailing Address | Practice Location Address |
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Po Box 170, Barron, WI 54812-0170 Ph: (715) 637-2020 | 341 E La Salle Ave, Barron, WI 54812-1502 Ph: (715) 637-2020 |
Dr. Dean Marvin Springer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 341 E La Salle Ave, Barron, WI 54812 Phone: 715-637-2020 Fax: 715-637-3140 |