Vision Source Florence is a
Optometrist based in Florence, Wisconsin. Vision Source Florence is licensed to practice in Wisconsin (license number 2242) and their current practice location is
433 Florence Ave., Florence, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(715) 528-5331.
NPI number for Vision Source Florence is 1417179052 and their current mailing address is 433 Florence Ave., Po Box 421, Florence, Wisconsin. Vision Source Florence
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1417179052.
Healthcare Provider's Profile
| Full Name | Vision Source Florence |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 433 Florence Ave., Florence, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417179052
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 03/20/2009
Medical Identifiers
Medical identifiers for Vision Source Florence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417179052 | NPI | - | NPPES |
| 38578900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2242 (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. Vision Source Florence 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 |
|---|
Vision Source Florence
433 Florence Ave., Po Box 421,
Florence, WI 54121
Ph: (715) 528-5331 | Vision Source Florence
433 Florence Ave.,
Florence, WI 54121
Ph: (715) 528-5331 |
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