The Beaver Dam Eye Clinic is a
Ophthalmology based in Beaver Dam, Wisconsin. The Beaver Dam Eye Clinic is licensed to practice in * (Not Available) (license number ) and their current practice location is
240 Corporate Drive, Beaver Dam, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 887-1151.
NPI number for The Beaver Dam Eye Clinic is 1447276894 and their current mailing address is 240 Corporate Dr, Beaver Dam, Wisconsin. The Beaver Dam Eye Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1447276894.
Healthcare Provider's Profile
Full Name | The Beaver Dam Eye Clinic |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 240 Corporate Drive, Beaver Dam, 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: 1447276894
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 04/21/2021
Medical Identifiers
Medical identifiers for The Beaver Dam Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447276894 | NPI | - | NPPES |
0593830002 | Other | | DEPMOS SUPPLIER |
000016160 | Other | | OFFICE LOCATION |
CP765 | Other | WI | RAIL ROAD MEDICARE |
21310700 | Medicaid | WI | |
519075 | Other | | DEAN CARE HMO LOCATION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | 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. The Beaver Dam Eye Clinic 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 |
The Beaver Dam Eye Clinic 240 Corporate Dr, Beaver Dam, WI 53916-3115 Ph: (920) 887-1151 | The Beaver Dam Eye Clinic 240 Corporate Drive, Beaver Dam, WI 53916-3115 Ph: (920) 887-1151 |
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