Stephen J Pruett, | |
3805b Spring St, Suite 140, Racine, WI 53405-1641 | |
(262) 637-8835 | |
(262) 635-8027 |
Full Name | Stephen J Pruett |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 41 Years |
Location | 3805b Spring St, Racine, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427070259 | NPI | - | NPPES |
38583200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1963-035 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Centers Of Racine And Kenosha Ltd | 8921069048 | 5 |
Provider Name | Eye Centers Of Racine And Kenosha Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710905781 PECOS PAC ID: 8921069048 Enrollment ID: O20041022000101 |
Mailing Address | Practice Location Address |
---|---|
Stephen J Pruett, 3805b Spring St, Suite 140, Racine, WI 53405-1641 Ph: (262) 637-8835 | Stephen J Pruett, 3805b Spring St, Suite 140, Racine, WI 53405-1641 Ph: (262) 637-8835 |
Dr. Robert G. Mahoney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4304 Taylor Ave, Racine, WI 53405 Phone: 262-404-5001 | |
Dr. Bruce A Savin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1421 Washington Ave, Racine, WI 53403 Phone: 262-637-7494 | |
Vision Therapy Center Of Wisconsin, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1421 Washington Ave, Racine, WI 53403 Phone: 262-637-7494 Fax: 262-637-7958 | |
Reed Michael Schmidt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1421 Washington Ave, Racine, WI 53403 Phone: 262-637-7494 | |
Warren Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4060 N Main St, Racine, WI 53402 Phone: 262-752-2020 | |
Maximillian Joseph Soldenwagner, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2510 S Green Bay Rd, Racine, WI 53406 Phone: 262-504-2340 | |
Dr. Sara Kristen Nicholson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4060 N Main St, Racine, WI 53402 Phone: 262-752-2020 Fax: 262-292-5019 |