- in Johnson Creek, WI

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is a Ophthalmology based in Johnson Creek, Wisconsin. is licensed to practice in Wisconsin (license number ) and their current practice location is 540 Village Walk Ln, Ste G, Johnson Creek, Wisconsin. It can be reached at their office (for appointments etc.) via phone at (920) 699-4388.

NPI number for is 1003146929 and their current mailing address is 125 Hospital Dr, Watertown, Wisconsin. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1003146929.

Contact Information

540 Village Walk Ln, Ste G,
Johnson Creek, WI 53038-9554
(920) 699-4388
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location540 Village Walk Ln, Johnson Creek, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003146929
  • Provider Enumeration Date: 12/29/2009
  • Last Update Date: 03/19/2014

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003146929NPI-NPPES
100007050MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (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. 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 AddressPractice Location Address

125 Hospital Dr,
Watertown, WI 53098-3303

Ph: (920) 262-4784
540 Village Walk Ln, Ste G,
Johnson Creek, WI 53038-9554

Ph: (920) 699-4388

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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