St. Croix Tribal Optical is a
Optometrist based in Webster, Wisconsin. St. Croix Tribal Optical is licensed to practice in Wisconsin (license number 2728-035) and their current practice location is
4404 State Road 70, Webster, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(715) 349-8554.
NPI number for St. Croix Tribal Optical is 1366654980 and their current mailing address is 4404 State Road 70, Webster, Wisconsin. St. Croix Tribal Optical
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1366654980.
Healthcare Provider's Profile
Full Name | St. Croix Tribal Optical |
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Type | Facility |
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Speciality | Optometrist |
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Location | 4404 State Road 70, Webster, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366654980
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 10/15/2024
Medical Identifiers
Medical identifiers for St. Croix Tribal Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366654980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2728-035 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. St. Croix Tribal Optical is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
St. Croix Tribal Optical 4404 State Road 70, Webster, WI 54893-9251 Ph: (715) 349-8554 | St. Croix Tribal Optical 4404 State Road 70, Webster, WI 54893-9251 Ph: (715) 349-8554 |
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